Nurse Practitioner Authority to Provide and Facilitate HIV Prevention Care

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order HIV testing. 

• [Alaska Admin. Code tit. 12, § 44.430] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Alaska Admin. Code tit. 12, § 44.430, 440] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Alaska Admin. Code tit. 12, § 52.240; Alaska Stat. Ann. § 08.68.100] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Alaska Admin. Code tit. 12, § 52.240; Alaska Stat. Ann. § 08.68.100]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority. 

• Alaska Admin. Code tit. 12, § 44.430

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?  

• Yes, APRNs must first apply for prescriptive authority and receive approval from the Alaskan Board of Nursing.   

• Along with the application form, the APRN must pay a $100 fee and provide documentation of 1) licensure as an APRN and 2) completion of 15 contact education hours within the past two years in advanced pharmacology and clinical management.

• Once approved for prescriptive authority, APRNs must renew this authority with the Board of Nursing biennially.

• Alaska Admin. Code tit. 12, § 44.440; 12 AAC 44.400(a)(6) ; 12 AAC 02.280

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority to APRNs who have applied and been approved for prescriptive authority. 

• Alaska Admin. Code tit. 12, § 44.440; 12 AAC 44.400(a)(6) ; 12 AAC 02.280

1.2.1 If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• Yes, state law explicitly grants APRNs prescriptive authority for legend drugs (including PrEP and PEP). 

• Alaska Admin. Code tit. 12, § 44.440

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Alaska Admin. Code tit. 12, § 44.430

3.  Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Alaska Admin. Code tit. 12, § 44.430

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, for expanded patient care services beyond prescriptive authority, state law authorizes APRNs’ scope of practice to include “advanced and specialized acts of nursing practice as those described in the scope of practice statements published by national professional nursing associations recognized by the” Alaska Board of Nursing. Alaska Admin. Code tit. 12, § 44.430 

• The following associations have been approved by the Alaska Board of Nursing: 1) National Board on Certification & Recertification of Nurse Anesthetists; 2) National Certification Corporation for the Obstetric, Gynecologic, and Neonatal Nursing Specialties; 3) The Pediatric Nursing Certification Board; 4) American Midwifery Certification Board; 5) American Nurses Credentialing Center; 6) American Academy of Nursing Practitioners; and 7) American Association of Critical-Care Nurses. Alaska APRN License Application 

• When deciding if an act is within an APRNs’ scope of practice, the Alaska Board of Nursing recommends using a Scope of Nursing Practice Decision-Making Framework.

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?  

• Yes, APRNs who have been granted prescriptive authority by the Alaskan Board of Nursing can delegate patient care services to a pharmacist via a collaborative practice agreement.

• The collaborative practice agreement must be written and submitted to the Alaskan Board of Pharmacy for approval. 

• Alaska Admin. Code tit. 12, § 52.240; Alaska Stat. Ann. § 08.68.100 

4.2. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative practice agreement may be non-patient specific.

• Alaska Admin. Code tit. 12, § 52.240; Alaska Stat. Ann. § 08.68.100

4.3. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• Alaska Admin. Code tit. 12, § 52.240; Alaska Stat. Ann. § 08.68.100

4.4. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• Alaska Admin. Code tit. 12, § 52.240; Alaska Stat. Ann. § 08.68.100 

Can a nurse practitioner independently order HIV testing?

• No, certified registered nurse practitioners (CRNPs) cannot independently order HIV testing.
• [Ala. Code § 34-21-81; Ala. Admin. Code 610-X-5-.09]

Can a nurse practitioner independently prescribe PrEP and PEP?

• No, CRNPs cannot independently prescribe PrEP and
• [Ala. Code § 34-21-81; Ala. Admin. Code 610-X-5-.09]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Alabama law does not authorize CRNPs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, Alabama law does not authorize CRNPs to delegate patient care services to pharmacists via CPAs.

 

Comprehensive Review

 1. Does state law grant licensed nurse practitioners the authority to practice independently?

• No, state law does not grant CRNPs independent practice authority.
• Code § 34-21-81

 2. Does state law limit practice authority for nurse practitioners through provider agreements?

• Yes, state law limits practice authority for CRNPs through provider agreements.
• Code § 34-21-81

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements?

• Yes, state law explicitly grants CRNPs prescriptive authority through provider agreements.
• Code § 34-21-86; Ala. Admin. Code 610-X-5-.12

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)?

• Yes, state law explicitly states CRNPS can prescribe legend drugs (including PrEP and PEP) through provider agreements.
• Code § 34-21-86; Ala. Admin. Code 610-X-5-.01; Ala. Admin. Code 610-X-5-.06, .07, .09, .11, and .12

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• No, state law does not grant CRNPs the authority to independently order laboratory testing.
• However, a CRNP can order testing for HIV through the establishment of a CPA or protocol with a physician.
• Code § 34-21-86; Ala. Admin. Code 610-X-5-.01; Ala. Admin. Code 610-X-5-.06, .07, .09, .11, and .12

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant CRNPs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Ark. Code Ann. § 17-87-314; Code Ark. R. 007.34.1-11-III ; Code Ark. R. 007.34.1-11-IV ; Code Ark. R. 007.34.1-4-IX ; APRN – Advanced Practice] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Ark. Code Ann. § 17-87-310; Ark. Code Ann. § 17-87-314] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Arkansas law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

• [Ark. Code Ann. § 17-92-101] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Arkansas law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

• [Ark. Code Ann. § 17-92-101]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• Ark. Code Ann. § 17-87-314 

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?  

• Yes, APRNs must first apply for independent practice authority and receive approval from the Full Independent Practice Credentialing Committee, which is a committee established and regulated by the Arkansas Department of Health.   

• Along with the application form, the APRN must pay a $150 fee and provide documentation of 1) 6,240 completed hours of practice – either in Arkansas under a collaborative practice agreement with a physician or in another state that provide nurse practitioners full practice authority and 2) two letters of recommendation. 

• Once approved for prescriptive authority, APRNs must renew this authority with the Full Independent Practice Credentialing Committee every three years and pay a $50 fee.

• Ark. Code Ann. § 17-87-314; Code Ark. R. 007.34.1-11-III ; Code Ark. R. 007.34.1-11-IV ; Code Ark. R. 007.34.1-4-IX

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority to APRNs who have applied and been approved for prescriptive authority. 

• Ark. Code Ann. § 17-87-314; Code Ark. R. 007.34.1-11-III ; Code Ark. R. 007.34.1-11-IV ; Code Ark. R. 007.34.1-4-IX

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• Yes, state law explicitly grants APRNs prescriptive authority for legend drugs (including PrEP and PEP). 

• Ark. Code Ann. § 17-87-314; Code Ark. R. 007.34.1-4-VIII; Code Ark. R. 007.34.1-4-IX  

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Ark. Code Ann. § 17-87-314 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, APRNs who have applied for and received independent practice authority may independently order laboratory testing.

• Ark. Code Ann. § 17-87-314; Code Ark. R. 007.34.1-11-III ; Code Ark. R. 007.34.1-11-IV ; Code Ark. R. 007.34.1-4-IX; Code Ark. R. 016.06.20-215.040

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV. 

• Arkansas law on APRN full practice authority does not outline specifications for patient care services beyond prescriptive authority. Ark. Code Ann. § 17-87-314. 

• However, Arkansas Medicaid identifies nurse practitioners as one the providers that may bill for laboratory testing services.  Laboratory testing for HIV/AIDS is explicitly identified as one of these laboratory testing services. Code Ark. R. 016.06.20-215.040. 

• When deciding if an act is within an APRNs’ scope of practice, the Arkansas Board of Nursing recommends using a Scope of Nursing Practice Decision-Making Framework. 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?  

• No, Arkansas law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

• Ark. Code Ann. § 17-92-101 

Can a nurse practitioner independently order HIV testing?

• Yes, Registered Nurse Practitioners (RNPs) can independently order HIV testing.

• [Ariz. Admin. Code R4-19-508, 09]

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, RNPs can independently prescribe PrEP and PEP. 

• [Ariz. Rev. Stat. Ann. § 32-1601; Ariz. Admin. Code R4-19-508] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, RNPs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Ariz. Rev. Stat. Ann. § 32-1970] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, RNPs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Ariz. Rev. Stat. Ann. § 32-1970]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants RNPs independent practice authority.

• Ariz. Admin. Code R4-19-508

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?  

• Yes, RNPs must first apply for prescriptive authority and receive approval from the Arizona Board of Nursing.   

• Along with the application form, the RNP must pay a $150 fee and provide documentation of 1) licensure as an RNP and 2) completion of 45 contact education hours within the past three years in pharmacology and/or clinical management.   

• Ariz. Admin. Code R4-19-507 ; Ariz. Admin. Code R4-19-511; Ariz. Admin. Code R4-19-512 ; Arizona Board of Nursing – Prescribing and Dispensing

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority to RNPs who have applied and been approved for prescriptive authority.

• Ariz. Admin. Code R4-19-507 ; Ariz. Admin. Code R4-19-511; Ariz. Admin. Code R4-19-512 ; Arizona Board of Nursing – Prescribing and Dispensing

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• No, state law does not explicitly state RNPs can prescribe legend drugs.

• Rather, state law permits RNPs to generally “[p]rescribe drugs and devices” that do not exceed Arizona’s statutory definitions for Schedule II-V controlled substances.   

• As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits RNPs to prescribe legend drugs. 

• Ariz. Admin. Code R4-19-512

2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for RNPs through provider agreements.

• Ariz. Admin. Code R4-19-508

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants RNPs the authority to independently order laboratory testing.

• Ariz. Admin. Code R4-19-508

3.1.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, state law broadly grants RNPs the broad authority to “[o]rder and interpret laboratory, radiographic, and other diagnostic tests, and perform those tests that the RNP…[is] qualified to perform.” 

• Ariz. Admin. Code R4-19-508

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, RNPs who have been granted prescriptive authority by the Arizona Board of Nursing can delegate patient care services to a pharmacist via a collaborative practice agreement.

• Ariz. Rev. Stat. Ann. § 32-1970

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative practice agreement may be non-patient specific.

• Ariz. Rev. Stat. Ann. § 32-1970

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• Ariz. Rev. Stat. Ann. § 32-1970

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• Ariz. Rev. Stat. Ann. § 32-1970 

Can a nurse practitioner independently order HIV testing?

• Yes, Nurse Practitioners (NPs) can independently order HIV testing.
• [Cal. Bus. & Prof. Code § 2837.103; Cal. Code Regs. tit. 16, § 1482.3]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, NPs can independently prescribe PrEP and PEP.
• [Cal. Bus. & Prof. Code § 2837.103; Cal. Bus. & Prof. Code § 2837.103.5]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, NPs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.
• [Cal. Bus. & Prof. Code § 2837.103; Cal. Code Regs. tit. 16, § 1482.3; Cal. Bus. & Prof. Code § 4052]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• Yes, NPs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP.
• [Cal. Bus. & Prof. Code § 2837.103; Cal. Code Regs. tit. 16, § 1482.3; Cal. Bus. & Prof. Code § 4052]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants NPs independent practice authority.
• Cal. Bus. & Prof. Code § 2837.103

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• Yes, NPs must first apply for expanded scope of practice and receive approval from the California Board of Registered Nursing.
• Along with the application, the NP must provide documentation of 1) licensure as a NP and 2) 4,600 completed hours of practice – completed in within the last three years in California under a collaborative practice agreement with a physician or surgeon.
• NPs must also have liability insurance “appropriate to the practice setting.”
• While NPs with approved expanded practice no longer need to be operating under a protocol or collaborative practice agreement, the facility in which they are practicing must have at least one physician or surgeon also practicing.
• NPs with expanded scope of practice may not independently practice in 1) correctional treatment centers or 2) state hospitals.
• Cal. Bus. & Prof. Code § 2837.103; Cal. Code Regs. tit. 16, § 1482.3

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority to NPs who have applied and been approved for prescriptive authority.
• Cal. Bus. & Prof. Code § 2837.103

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?

• Yes, state law explicitly grants NPs prescriptive authority for legend drugs (including PrEP and PEP).
• Cal. Bus. & Prof. Code § 2837.103

 2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.
• Cal. Bus. & Prof. Code § 2837.103

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants NPs the authority to independently order laboratory testing.
• Cal. Bus. & Prof. Code § 2837.103; Cal. Bus. & Prof. Code § 1206

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant NPs the explicit authority to order laboratory testing for HIV.
• Rather, California law broadly permits NPs to “[o]rder, perform, and interpret diagnostic procedures” and may “perform or interpret” laboratory testing, including CLIA-waived tests.
• Cal. Bus. & Prof. Code § 2837.103; Cal. Bus. & Prof. Code § 1206

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• Yes, NPs who have applied for and received expanded practice authority from the California Board of Registered Nursing can delegate patient care services to a pharmacist via a collaborative practice agreement.
• Cal. Bus. & Prof. Code § 2837.103; Cal. Code Regs. tit. 16, § 1482.3; Cal. Bus. & Prof. Code § 4052

4.1. If yes, can the collaborative practice agreement be non-patient specific?

• Yes, the collaborative practice agreement may be non-patient specific.
• Cal. Bus. & Prof. Code § 2837.103; Cal. Code Regs. tit. 16, § 1482.3; Cal. Bus. & Prof. Code § 4052

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP.
• Cal. Bus. & Prof. Code § 2837.103; Cal. Code Regs. tit. 16, § 1482.3; Cal. Bus. & Prof. Code § 4052

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.
• Cal. Bus. & Prof. Code § 2837.103; Cal. Code Regs. tit. 16, § 1482.3; Cal. Bus. & Prof. Code § 4052

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [3 Colo. Code Regs. § 716-1:1.14-F] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Colo. Rev. Stat. Ann. § 12-255-112; 3 Colo. Code Regs. § 716-1:1.15-F] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [3 Colo. Code Regs. § 716-1:1.22-B – H] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [3 Colo. Code Regs. § 716-1:1.22-B – H]

Comprehensive Review

 1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• Colo. Rev. Stat. Ann. § 12-255-112; 3 Colo. Code Regs. § 716-1:1.15

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, to prescribe PrEP and PEP, APRNs must first apply for prescriptive authority to and receive approval from the Colorado State Board of Nursing. 

• Along with the application, the APRN must provide documentation of 1) licensure as an APRN; 2) completion of a minimum of three graduate semester hours in each of the following Pathophysiology, Physical Assessment, and Pharmacology, which must include education on prescribing drugs and controlled substances ; 3) professional liability insurance of at least $500,000 per claim with an aggregate liability for all claims during the year of $1.5 million; 4) signed attestation of completing 3 combined years of clinical work experience as a registered nurse or APRN; and 5) the potential Mentor (a physician or APRN with Full Prescriptive Authority) of the APRN, for the purpose of the APRN obtaining Full Prescriptive Authority.

• Once the above documents have been submitted, the APRN has Provisional Prescriptive Authority. 

• To obtain Full Prescriptive Authority, the APRN must provide documentation within three years after receipt of Provisional Prescriptive Authority of completion of 750 hours in a mentorship relationship with a physician or APRN with Full Prescriptive Authority, which the Colorado State Board of Nursing has approved.  These 750 hours must include mentored experience on prescribing of drugs, devices, and other treatments based on clinical considerations, patient needs, and reasonable expectations of effectiveness for the individual patient and specific to the Mentor’s practice area. 

• Colo. Rev. Stat. Ann. § 12-255-112, 113; 3 Colo. Code Regs. § 716-1:1.15-C – L

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority to APRNs who have applied and been approved for prescriptive authority.

• Colo. Rev. Stat. Ann. § 12-255-112, 113; 3 Colo. Code Regs. § 716-1:1.15-C – L

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• No, state law does not explicitly state APRNs can prescribe legend drugs.

• Rather, state law permits APRN to generally prescribe “medications and controlled substances schedules II-V to patients appropriate to the APRN's Role and, if applicable, Population Focus.” 3 Colo. Code Regs. § 716-1:1.15-B 

• As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits APRNs to prescribe legend drugs. 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Colo. Rev. Stat. Ann. § 12-255-112 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• 3 Colo. Code Regs. § 716-1:1.14-F

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Colorado law broadly permits APRNs to “practice in accordance with the standards of the appropriate national professional nursing organization,” which includes patient care services such as “performing acts of advanced assessment, diagnosing, treating, prescribing, ordering, selecting, administering, and dispensing diagnostic and therapeutic measures.” 

• 3 Colo. Code Regs. § 716-1:1.14-F 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?  

• Yes, APRNs who have been granted prescriptive authority by the Colorado States Board of Nursing can delegate patient care services to a pharmacist via a drug therapy management protocol.

• 3 Colo. Code Regs. § 716-1:1.22-B – H

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the drug therapy management protocol may be non-patient specific – but the APRN must have an established patient-provider relationship will all participating patients.   

• Any drug therapy management provided by the pharmacist must be pursuant to an initial diagnosis made by the participating APRN. 

• 3 Colo. Code Regs. § 716-1:1.22-B – H

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the drug therapy management protocol may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP, if the original prescription was ordered by the APRN.   

• Any modifications to the drug therapy management must first be approved by the participating APRN, who must do so within 72 hours of receiving notice of modification from the participating pharmacist. 

• 3 Colo. Code Regs. § 716-1:1.22-B – H

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the drug therapy management protocol may grant the pharmacist testing authority, so long as the tests ordered are specifically addressed in the protocol and directly relate to the management of the drug therapy. 

• 3 Colo. Code Regs. § 716-1:1.22-C 

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Conn. Gen. Stat. Ann. § 20-87a]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.

• [Conn. Gen. Stat. Ann. § 20-87a]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [Conn. Gen. Stat. Ann. § 20-631; Conn. Gen. Stat. Ann. § 20-571]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP.

• [Conn. Gen. Stat. Ann. § 20-631; Conn. Gen. Stat. Ann. § 20-571]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• Conn. Gen. Stat. Ann. § 20-87a

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• Yes, APRNs must first apply for independent practice authority and receive approval from the Connecticut Commissioner of Public Health.

• When submitting notice to the Commissioner of intent to practice independently, APRNs must certify in writing of completion of clinical practice conducted under a collaborative practice agreement or protocol with a physician for a period of no less than 3 years and not less than 2,000 total hours.

• The Connecticut Commissioner of Public Health must annually publish on the Department of Public Health’s website (on a date no later than December 1) the full list of APRNs who have been authorized to practice independently.

• Conn. Gen. Stat. Ann. § 20-87a

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have applied and been approved for independent practice authority.

• Conn. Gen. Stat. Ann. § 20-87a

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?

• Yes, state law explicitly grants APRNs prescriptive authority for legend drugs (including PrEP and PEP).

• Conn. Gen. Stat. Ann. § 20-87a; Conn. Gen. Stat. Ann. § 20-14c

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.

• Conn. Gen. Stat. Ann. § 20-87a

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, APRNs who have applied for and received independent practice authority may independently order laboratory testing.

• Conn. Gen. Stat. Ann. § 20-87a

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Connecticut law broadly permits APRNs to “[p]erform the acts of diagnosis and treatment of alterations in health status.”

• Conn. Gen. Stat. Ann. § 20-87a

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• Yes, APRNs who have applied for and received independent practice authority from the Commissioner of Public Health can delegate patient care services to a pharmacist via a collaborative drug therapy care plan.

• Conn. Gen. Stat. Ann. § 20-631; Conn. Gen. Stat. Ann. § 20-571

4.1. If yes, can the collaborative practice agreement be non-patient specific?

• Yes, the collaborative drug therapy care plan may be non-patient specific – but the APRN must have an established patient-provider relationship will all participating patients.

• Any drug therapy management provided by the pharmacist must be pursuant to an initial diagnosis made by the participating APRN or pursuant to a specific test set forth in a collaborative drug therapy management agreement.?

• Conn. Gen. Stat. Ann. § 20-631; Conn. Gen. Stat. Ann. § 20-571

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?

• Yes, the collaborative drug therapy care plan may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP.

• Conn. Gen. Stat. Ann. § 20-631; Conn. Gen. Stat. Ann. § 20-571

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?

• Yes, the collaborative drug therapy care plan may grant the pharmacist testing authority.

• Conn. Gen. Stat. Ann. § 20-631; Conn. Gen. Stat. Ann. § 20-571

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [D.C. Code Ann. § 3-1206.01; D.C. Code Ann. § 3-1206.04; D.C. Code Ann. § 3-1206.07a; D.C. Mun. Regs. tit. 17, § 5908, D.C. Mun. Regs. tit. 17, § 5909]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.

• [D.C. Code Ann. § 3-1206.01; D.C. Code Ann. § 3-1206.04; D.C. Code Ann. § 3-1206.07a; D.C. Mun. Regs. tit. 17, § 5908, D.C. Mun. Regs. tit. 17, § 5909]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, D.C. law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

• [D.C. Code Ann. § 3-1201.02; D.C. Code Ann. § 3-1204.12]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, D.C. law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

• [D.C. Code Ann. § 3-1201.02; D.C. Code Ann. § 3-1204.12]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, jurisdiction law grants APRNs independent practice authority.

• D.C. Code Ann. § 3-1206.01; D.C. Code Ann. § 3-1206.04; D.C. Code Ann. § 3-1206.07a; D.C. Mun. Regs. tit. 17, § 5908, D.C. Mun. Regs. tit. 17, § 5909

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• Jurisdiction law explicitly authorizes APRNs to prescribe legend drugs (including PrEP and PEP).

• D.C. Code Ann. § 3-1206.01; D.C. Code Ann. § 3-1206.04; D.C. Code Ann. § 3-1206.07a; D.C. Mun. Regs. tit. 17, § 5908, D.C. Mun. Regs. tit. 17, § 5909

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, jurisdiction law does not limit practice authority for APRNs through provider agreements.

• D.C. Code Ann. § 3-1206.01; D.C. Code Ann. § 3-1206.04; D.C. Code Ann. § 3-1206.07a

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, jurisdiction law grants APRNs the authority to independently order laboratory testing.

• D.C. Code Ann. § 3-1206.07a; D.C. Mun. Regs. tit. 17, § 5908

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, jurisdiction law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, D law broadly permits APRNs to order, perform, and interpret “diagnostic tests such as lab work.”

• D.C. Code Ann. § 3-1206.07a

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, D.C. law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

• However, D.C. law since 2012 has authorized the jurisdiction’s Mayor to collaborate with the Board of Nursing to initiate rulemaking for the purpose of authorizing APRNs to enter into collaborative practice agreements with pharmacists.

• D.C. Code Ann. § 3-1201.02; D.C. Code Ann. § 3-1204.12

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Del. Code Ann. tit. 24, § 1902; Del. Code Ann. tit. 24, § 1927; Del. Code Ann. tit. 24, § 1935; Code Del. Regs. 1900-8.0] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Del. Code Ann. tit. 24, § 1902; Del. Code Ann. tit. 24, § 1927; Del. Code Ann. tit. 24, § 1935; Code Del. Regs. 1900-8.0] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Del. Code Ann. tit. 24, § 2502] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Del. Code Ann. tit. 24, § 2502]

Comprehensive Review

 1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• Del. Code Ann. tit. 24, § 1902

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• State law explicitly authorizes APRNs to prescribe legend drugs (including PrEP and PEP). 

• Del. Code Ann. tit. 24, § 1902; Del. Code Ann. tit. 24, § 1927; Del. Code Ann. tit. 24, § 1935

2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Del. Code Ann. tit. 24, § 1935

3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Del. Code Ann. tit. 24, § 1902

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Delaware law broadly permits APRNs to order, perform, and interpret “laboratory tests.” 

• Code Del. Regs. 1900-8.0

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?  

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Del. Code Ann. tit. 24, § 2502

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative pharmacy practice agreement may be non-patient specific.

• Del. Code Ann. tit. 24, § 2502

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP 

• Del. Code Ann. tit. 24, § 2502

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority.

• Del. Code Ann. tit. 24, § 2502

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Fla. Stat. Ann. § 464.0123; Fla. Admin. Code Ann. r. 64B9-4.020] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Fla. Stat. Ann. § 464.0123; Fla. Admin. Code Ann. r. 64B9-4.020] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Florida law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Florida law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

 1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• Fla. Stat. Ann. § 464.0123

1.1 If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, APRNs must first apply for autonomous practice authority and receive approval from the Florida Board of Nursing.

• Along with the application form, the APRN must pay a $100 fee and provide documentation of 1) licensure as an APRN; 2) completion of within the last five years of 3 graduate-level hours in both differential diagnosis and pharmacology; 3) 3,000 completed hours of clinical practice – completed in within the last five years in under a collaborative practice agreement or protocol with a physician. 

• Upon approval of independent practice authority, the APRN must maintain professional liability insurance – or an equivalent letter of credit – of at least $100,000 per claim with an aggregate liability of $300,000. 

• Once approved for independent practice authority, APRNs must renew this authority with the Board of Nursing biennially.   

• Registration renewal must include documentation of completing at least 10 hours of Board-approved continuing education – in addition to the 30 hours of continuing education required of standard APRN licensure renewal. 

• Fla. Stat. Ann. § 464.0123; Fla. Admin. Code Ann. r. 64B9-4.020

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have applied and been approved for autonomous practice authority.

• Fla. Stat. Ann. § 464.012; Fla. Stat. Ann. § 464.0123

1.2.1 If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• Yes, state law explicitly grants APRNs prescriptive authority for “any drug” (including legend drugs such as PrEP and PEP). 

• Fla. Stat. Ann. § 464.012; Fla. Stat. Ann. § 464.0123 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Fla. Stat. Ann. § 464.0123 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, APRNs who have applied for and received autonomous practice authority may independently order laboratory testing.

• Fla. Stat. Ann. § 464.012; Fla. Stat. Ann. § 464.0123

3.1 If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Florida law broadly permits APRNs to “[o]rder diagnostic tests.” 

• Fla. Stat. Ann. § 464.012; Fla. Stat. Ann. § 464.0123 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?  

• No, Florida law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner independently order HIV testing?

• No, advanced practice registered nurse (APRN) cannot independently order HIV testing.   

• [Ga. Code Ann. § 43-34-25; Ga. Comp. R. & Regs. 410-11-.13; Ga. Comp. R. & Regs. 360-32-.02] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• No, APRNs cannot independently prescribe PrEP and  
  PEP.   

• [Ga. Code Ann. § 43-34-25; Ga. Comp. R. & Regs. 410-11-.13; Ga. Comp. R. & Regs. 360-32-.02] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Georgia law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Georgia law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

 1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• No, state law does not grant APRNs independent practice authority.

• Ga. Code Ann. § 43-34-25; Ga. Comp. R. & Regs. 410-11-.13; Ga. Comp. R. & Regs. 360-32-.02 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• Yes, state law limits practice authority for APRNs through provider agreements.

• Ga. Code Ann. § 43-34-25; Ga. Comp. R. & Regs. 410-11-.13; Ga. Comp. R. & Regs. 360-32-.02 

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements?

• Yes, state law explicitly grants APRNs prescriptive authority through provider agreements.

• Ga. Comp. R. & Regs. 410-11-.13

2.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)? 

• Yes, state law explicitly states APRNs can prescribe legend drugs (including PrEP and PEP) through provider agreements. 

• Ga. Comp. R. & Regs. 410-11-.13; Ga. Code Ann. § 16-13-71 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• No, state law does not grant APRNs the authority to independently order laboratory testing.

• However, an APRN can order testing for HIV through the establishment of a CPA or protocol with a physician.

• Ga. Code Ann. § 43-34-25; Ga. Comp. R. & Regs. 410-11-.13; Ga. Comp. R. & Regs. 360-32-.02 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Haw. Rev. Stat. Ann. § 457-2.7; Haw. Rev. Stat. Ann. § 457-8.6] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Haw. Rev. Stat. Ann. § 457-2.7; Haw. Rev. Stat. Ann. § 457-8.6; Haw. Code R. 16-89-119] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [Haw. Rev. Stat. Ann. § 461-1] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Haw. Rev. Stat. Ann. § 461-1]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• Haw. Rev. Stat. Ann. § 457-2.7; Haw. Rev. Stat. Ann. § 457-8.6; Haw. Code R. 16-89-126

1.1 If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, to receive independent practice authority, APRNs must first apply for prescriptive authority to and receive approval from the Hawaii State Board of Nursing. 

• Along with the application and $30 application fee, the APRN must provide documentation of 1) Registered Nurse certification; 2) graduate degree with a focus on either the practice of a certified nurse anesthetist, a nurse midwife, a clinical nurse specialist, or a nurse practitioner; 3) licensure as an APRN; 4) certification for a specialized advanced nursing practice field from a “national certifying body;” and 5) 30 contact hours of advanced pharmacology education that included advanced pharmacotherapeutics and was completed within the last 3 years. 

• Once approved for independent practice authority, APRNs must renew this authority with the Board of Nursing biennially.   

• Along with the renewal application and $30 fee, APRNs must submit the following for registration renewal: 1) documentation of at least 30 hours of Board-approved continuing education – of which 22 must be in the APRN’s specialty field and 8 must be in pharmacology; 2) the APRN’s fingerprints, which are used by the Board to conduct a check for federal and state criminal history records; and 3) documentation of “continuing competency.” To fulfill the “continuing competency” requirement, APRNs may choose from either standard education courses or practical activities such as mentorship of other nursing students, publishing research, or submitting a specific activity for Board consideration.  The latter must be approved by the Board, and the former education options include the following: 1) a national certification or recertification related to the nurse's practice role; 2) thirty contact hours of continuing education activities; 3) completion of a board approved refresher course; or 4) completion of a minimum of two semester credits of post-licensure academic education related to nursing practice from an accredited nursing program. 

• Haw. Rev. Stat. Ann. § 457-8.6; Haw. Rev. Stat. Ann. § 457-9; Haw. Rev. Stat. Ann. § 457-9.2; Haw. Rev. Stat. Ann. § 457-9.3; Haw. Code R. 16-53-27.1; Haw. Code R. 16-89-119; Haw. Code R. 16-89-123

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority to APRNs who have applied and been approved for prescriptive authority.

• Haw. Rev. Stat. Ann. § 457-2.7; Haw. Rev. Stat. Ann. § 457-8.6; Haw. Code R. 16-89-119

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• Yes, state law explicitly grants APRNs prescriptive authority for legend drugs (including PrEP and PEP). 

• Haw. Rev. Stat. Ann. § 457-2.7; Haw. Rev. Stat. Ann. § 457-8.6 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Haw. Rev. Stat. Ann. § 457-2.7; Haw. Rev. Stat. Ann. § 457-8.6 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Haw. Rev. Stat. Ann. § 457-2.7; Haw. Code R. 16-89-126

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Hawaii law broadly permits APRN scope of practice to include measures “within the advanced practice registered nurse's role and specialty-appropriate education and certification,” of which the authority to diagnose is explicitly identified. Haw. Rev. Stat. Ann. § 457-2.7 

• Additionally, the Hawaii State Board of Nursing adopts, in their entirety, the NCSBN Model Nursing Practice Act and Model Nursing Administrative Rules. APRN scope of practice, as outlined in these documents, includes “[o]rdering and interpreting diagnostic procedures.” Haw. Code R. 16-89-126 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs who have been granted prescriptive authority by the Hawaii State Board of Nursing can delegate patient care services to a pharmacist via a collaborative practice agreement.

• Haw. Rev. Stat. Ann. § 461-1

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative practice agreement may be non-patient specific.

• However, a pharmacist may only prescribe medication to a patient that has an established provider/patient relationship with the APRN.

• Haw. Rev. Stat. Ann. § 461-1

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP, if the patient has an established provider/patient relationship with the APRN and the prescription is related to the condition for which the patient was seen by the APRN. 

• The pharmacist must notify the APRN within 24 hours of initiating a prescription. 

• Haw. Rev. Stat. Ann. § 461-1

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• Haw. Rev. Stat. Ann. § 461-1 

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Registered Nurse Practitioners (ARNPs) can independently order testing for HIV. 

• [Iowa Admin. Code r. 481-621.4(17A,147,152)]

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, ARNPs can independently prescribe PrEP and PEP. 

• [Iowa Admin. Code r. 481-621.4(17A,147,152)]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, ARNPs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Iowa Code Ann. § 155A.3; Iowa Code Ann. § 155A.48] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, ARNPs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Iowa Code Ann. § 155A.3; Iowa Code Ann. § 155A.48]

Comprehensive Review

 1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants ARNPs independent practice authority.

• Iowa Admin. Code r. 481-621.4(17A,147,152)

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• No, ARNPs are granted full, independent practice and prescriptive authority upon the issuance of an ARNP license.

• State law explicitly authorizes ARNPs to prescribe “prescription drugs or devices, including controlled substances.” This broad authority would, therefore, include prescriptive authority for legend drugs (including PrEP and PEP). 

• Iowa Admin. Code r. 481-621.4(17A,147,152)

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for ARNPs through provider agreements.

• Iowa Admin. Code r. 481-621.4(17A,147,152)

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants ARNPs the authority to independently order laboratory testing.

• Iowa Admin. Code r. 481-621.4(17A,147,152)

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant ARNPs the explicit authority to order laboratory testing for HIV.

• Rather, Iowa law broadly permits ARNPs to “the full extent of the ARNP’s license, education, and experience.” This authority includes, but is not limited to, ordering “diagnostic procedures.” 

• Iowa Admin. Code r. 481-621.4(17A,147,152)

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, ARNPs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Iowa Code Ann. § 155A.3; Iowa Code Ann. § 155A.48

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative pharmacy practice agreement may be non-patient specific.

• Iowa Code Ann. § 155A.48

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP 

• Iowa Code Ann. § 155A.48

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority.

• Iowa Code Ann. § 155A.48 

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Idaho Code Ann. § 54-1402; Idaho Admin. Code r. 24.34.01.002] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [[Idaho Code Ann. § 54-1402; Idaho Admin. Code r. 24.34.01.002; Idaho Admin. Code r. 24.34.01.200] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [Idaho Code Ann. § 54–1704; Idaho Code Ann. § 54–1734] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Idaho Code Ann. § 54–1704; Idaho Code Ann. § 54–1734]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority. 

• Idaho Code Ann. § 54-1402; Idaho Admin. Code r. 24.34.01.002; Idaho Admin. Code r. 24.34.01.200

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• State law explicitly authorizes APRNs to prescribe legend drugs (including PrEP and PEP). 

• Idaho Code Ann. § 54-1402; Idaho Admin. Code r. 24.34.01.002; Idaho Admin. Code r. 24.34.01.200

2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Idaho Code Ann. § 54-1402; Idaho Admin. Code r. 24.34.01.002; Idaho Admin. Code r. 24.34.01.200 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing. 

• Idaho Admin. Code r. 24.34.01.002; Idaho Admin. Code r. 24.34.01.200

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, jurisdiction law does not grant APRNs the explicit authority to order laboratory testing for HIV. 

• Rather, state law broadly permits APRNs to order “diagnostic tests” and provide diagnoses based on the findings of such tests. 

• Idaho Admin. Code r. 24.34.01.002

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Idaho Code Ann. § 54-1704

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative pharmacy practice agreement may be non-patient specific.

• Idaho Code Ann. § 54-1704

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• [Pharmacists may also prescribe legend drugs, including PrEP and PEP, independently. A collaborative practice agreement is not needed, but a pharmacist may choose to do so. Idaho Code Ann. § 54-1734] 

• Idaho Code Ann. § 54-1704

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority.

• Idaho Code Ann. § 54-1704 

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [225 Ill. Comp. Stat. Ann. 65/65-30]

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [225 Ill. Comp. Stat. Ann. 65/65-43]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Illinois law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Illinois law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

 1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• 225 Ill. Comp. Stat. Ann. 65/65-43

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, APRNs must first file with the Department of Financial and Professional Regulation for independent practice authority. 

• Along with the required filing form, the APRN must pay a $125 fee and provide documentation of 1) 4,000 completed hours of clinical experience in the APRN’s area of certification in collaboration with a physician and 2) 250 completed hours of continuing education or training. 

• Once approved for independent practice authority, APRNs must renew this authority with the Department of Financial and Professional Regulation biennially. The exact date of expiration is May 31st of every even-numbered year. 

• Registration renewal costs $40 and must include documentation of completing at least 80 hours of continuing education. Of the 80 required hours, at least 50 must be in standard continuing education programs (20 of which must be in pharmacotherapeutics, including 10 hours on opioid prescribing or substance abuse education).  While the other 30 of the 80 required hours may also be through standard courses, APRNs may also meet these hours through presentations in the APRN's clinical specialty, evidence-based practice, or quality improvement projects, publications, research projects, or preceptor hours. 

• 225 Ill. Comp. Stat. Ann. 65/65-43; Ill. Admin. Code tit. 68, § 1300.10; Ill. Admin. Code tit. 68, § 1300.30; Ill. Admin. Code tit. 68, § 1300.40; Ill. Admin. Code tit. 68, § 1300.130

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have applied and been approved for independent practice authority.

• Ill. Comp. Stat. Ann. 65/65-43

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• Yes, state law explicitly authorizes APRNs to prescribe legend drugs (including PrEP and PEP). 

• 225 Ill. Comp. Stat. Ann. 65/65-43

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Ill. Comp. Stat. Ann. 65/65-43

3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• This authority is inherent in an APRN’s standard scope of practice and does not require independent practice authority. 

• 225 Ill. Comp. Stat. Ann. 65/65-30

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Illinois law broadly permits APRNs to order, perform, and interpret the results of “diagnostic and therapeutic tests.” 

• 225 Ill. Comp. Stat. Ann. 65/65-30

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, Illinois law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

• 225 Ill. Comp. Stat. Ann. 85/43.5; 225 Ill. Comp. Stat. Ann. 85/3

Can a nurse practitioner independently order HIV testing?

• No, Advance Practice Registered Nurses (APRNs) cannot independently order testing for HIV. 

• [Ind. Code Ann. § 25-23-1-19.4; 848 Ind. Admin. Code 4-2-1] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• No, APRNs cannot independently prescribe PrEP and PEP. 

• [Ind. Code Ann. § 25-23-1-19.5; Ind. Code Ann. § 25-23-1-19.6] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Indiana law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Indiana law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• No, state law does not grant APRNs independent practice authority. 

• Ind. Code Ann. § 25-23-1-19.4

2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• Yes, state law limits practice authority for APRNs through provider agreements. 

• Ind. Code Ann. § 25-23-1-19.4

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements? 

• Yes, state law explicitly grants APRNs prescriptive authority through provider agreements. 

• However, APRNs must first apply for prescriptive authority with the Board of Nursing.

• To obtain prescriptive authority, state law requires documentation of 1) RN certification; 2) completion of 2 semester credit hours of a graduate level course in pharmacology; 3) either a graduate, post-graduate, or doctoral APRN program; and 4) “education requirements determined by the board [of nursing] to be appropriate to the” APRN’s position.  

• Indiana’s Professional Licensing Agency webpage on APRN prescriptive authority states this education requirement is at least 30 contact hours, of which at least 8 must have been in pharmacology. The webpage also lists the following as additional requirements: 1) criminal background check; 2) payment of a $50 fee; and 3) a copy of the collaborative practice agreement with a supervising physician. 

• This prescriptive authority must be renewed on or before October 31st of every odd-numbered year.  Along with a renewal application, the APRN must submit proof of completing of at least 15 contact hours of continuing education programs, of which at least 4 hours must have been in pharmacology  

• Ind. Code Ann. § 25-23-1-19.4 – 7; see also Indiana Professional Licensing Agency; Prescriptive Authority for Advanced Practice Registered Nurse

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)? 

• Yes, state law explicitly states APRNs can prescribe legend drugs (including PrEP and PEP) through provider agreements. 

• Ind. Code Ann. § 25-23-1-19.5, 6 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• No, state law does not grant APRNs the authority to independently order laboratory testing. 

• However, an APRN can order testing for HIV through the establishment of a CPA or protocol with a physician.

• Ind. Code Ann. § 25-23-1-19.4; 848 Ind. Admin. Code 4-2-1

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement. 

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Kan. Admin. Regs. 60-11-101; Kan. Admin. Regs. 60-11-104]

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Kan. Stat. Ann. § 65-1130; Kan. Admin. Regs. 60-11-101; Kan. Admin. Regs. 60-11-104, 104a] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Kansas law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Kansas law does not authorize APRNs to delegate patient care services to pharmacists via CPAs. 

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• Kan. Stat. Ann. § 65-1130; Kan. Admin. Regs. 60-11-101; Kan. Admin. Regs. 60-11-104, 104a

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• State law broadly authorizes APRNs to prescribe “any drug consistent with such licensee's specific role and population focus.” Legend drugs (including PrEP and PEP) would, therefore, be included in this prescriptive authority. 

• Kan. Stat. Ann. § 65-1130; Kan. Admin. Regs. 60-11-104a 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Kan. Stat. Ann. § 65-1130; Kan. Admin. Regs. 60-11-101 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing. 

• Kan. Stat. Ann. § 65-1130; Kan. Admin. Regs. 60-11-101; Kan. Admin. Regs. 60-11-104

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Iowa law broadly permits APRNs to exercise independent practice authority and “provide health care services for which the nurse practitioner is educationally prepared and for which competency has been established and maintained.” 

• Kan. Admin. Regs. 60-11-104

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• Kan. Stat. Ann. § 65-1626a 

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV. 

• [Ky. Rev. Stat. Ann. § 314.011; 201 Ky. Admin. Regs. 20:057] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Ky. Rev. Stat. Ann. § 314.042; 201 Ky. Admin. Regs. 20:057] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Ky. Rev. Stat. Ann. § 315.010; Ky. Rev. Stat. Ann. § 217.015] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Ky. Rev. Stat. Ann. § 315.010; Ky. Rev. Stat. Ann. § 217.015]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• Ky. Rev. Stat. Ann. § 314.042; 201 Ky. Admin. Regs. 20:057

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, APRNs must first file with the Kentucky Board of Nursing for independent practice authority.

• Along with the application, the APRN must submit documentation of four completed years of prescribing and dispensing prescription drugs under a collaborative practice agreement with a physician. 

• Ky. Rev. Stat. Ann. § 314.042

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have applied and been approved for independent practice authority.

• Ky. Rev. Stat. Ann. § 314.042; 201 Ky. Admin. Regs. 20:057

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• Yes, state law explicitly authorizes APRNs to prescribe legend drugs (including PrEP and PEP). 

• Ky. Rev. Stat. Ann. § 314.042 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Ky. Rev. Stat. Ann. § 314.042 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Ky. Rev. Stat. Ann. § 314.011; 201 Ky. Admin. Regs. 20:057

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Kentucky law broadly permits APRN scope of practice to include ordering diagnostic tests. 

• Additionally, the Kentucky Board of Nursing adopts, in their entirety, the American Association of Nurse Practitioner Scope of Practice for Nurse Practitioners and the Standards of Practice for Nurse Practitioners (2022 Edition). The former document outlines the APRN scope of practice to include the “ordering, performing, supervising, and interpreting diagnostic and laboratory tests.” 

• Ky. Rev. Stat. Ann. § 314.011; 201 Ky. Admin. Regs. 20:057 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Ky. Rev. Stat. Ann. § 315.010; Ky. Rev. Stat. Ann. § 217.015

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative pharmacy practice agreement may be non-patient specific.

• However, the patient must be referred to the pharmacist by the APRN.

• Ky. Rev. Stat. Ann. § 315.010

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP 

• Ky. Rev. Stat. Ann. § 315.010

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority, so long as the testing is related to “drug related health care.” 

• Ky. Rev. Stat. Ann. § 315.010 

Can a nurse practitioner independently order HIV testing?

• No, Advance Practice Registered Nurses (APRNs) cannot independently order testing for HIV. 

• [La. Stat. Ann. § 37:913; 46 La. Admin. Code Pt XLVII, 4513] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• No, APRNs cannot independently prescribe PrEP and PEP. 

• [La. Stat. Ann. § 37:913; 46 La. Admin. Code Pt XLVII, 4513] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Louisiana law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

• [La. Admin Code. tit. 46, Pt LIII, § 523] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Louisiana law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

• [La. Admin Code. tit. 46, Pt LIII, § 523]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• No, state law does not grant APRNs independent practice authority.

• La. Stat. Ann. § 37:913; 46 La. Admin. Code Pt XLVII, 4513

2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• Yes, state law limits practice authority for APRNs through provider agreements.

• La. Stat. Ann. § 37:913; 46 La. Admin. Code Pt XLVII, 4513

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements? 

• Yes, state law explicitly grants APRNs prescriptive authority through provider agreements.

• However, APRNs must first apply for prescriptive authority with the Board of Nursing.

• To obtain prescriptive authority, state law requires a $100 fee and submission of documentation of 1) RN certification; 2) APRN certification; 3) 500 hours of clinical practice as a licensed APRN; 4) completing 45 contact hours of education in advanced pharmacotherapeutics; 5) completing 45 contact hours in advanced health assessment. 

• 46 La. Admin. Code Pt XLVII, 4513

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)? 

• Yes, state law explicitly states APRNs can prescribe legend drugs (including PrEP and PEP) through provider agreements. 

• 46 La. Admin. Code Pt XLVII, 4513 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• No, state law does not grant APRNs the authority to independently order laboratory testing.

• However, an APRN can order testing for HIV through the establishment of a CPA or protocol with a physician.

• La. Stat. Ann. § 37:913; 46 La. Admin. Code Pt XLVII, 4513 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• La. Admin Code. tit. 46, Pt LIII, § 523

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Mass. Gen. Laws Ann. ch. 112, § 80B; Mass. Gen. Laws Ann. ch. 112, § 80E]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.

• [Mass. Gen. Laws Ann. ch. 112, § 80B; Mass. Gen. Laws Ann. ch. 112, § 80E; 244 Mass. Code Regs. 4.07]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Massachusetts law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, Massachusetts law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• Mass. Gen. Laws Ann. ch. 112, § 80B; Mass. Gen. Laws Ann. ch. 112, § 80E; 244 Mass. Code Regs. 4.07

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• Yes, APRNs must first register with the Massachusetts Board of Nursing for independent practice authority and submit written evidence of completing 2 years of practicing as an APRN under the supervision of a physician or APRN with independent practice authority. Additionally, APRNs must register with the Massachusetts Department of Public Health and the U.S. Drug Enforcement Administration before engaging in prescriptive practice.

• Mass. Gen. Laws Ann. ch. 112, § 80B; Mass. Gen. Laws Ann. ch. 112, § 80E; 244 Mass. Code Regs. 4.07

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have qualified and registered for independent practice authority.

• Mass. Gen. Laws Ann. ch. 112, § 80B; Mass. Gen. Laws Ann. ch. 112, § 80E; 244 Mass. Code Regs. 4.07

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?

• No, state law does not explicitly state APRNs can prescribe legend drugs.

• Rather, state law explicitly identifies APRNs’ authority to prescribe controlled substances up to Schedule II drugs. As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits APRNs to prescribe legend drugs.

• Mass. Gen. Laws Ann. ch. 112, § 80B; Mass. Gen. Laws Ann. ch. 112, § 80E; 244 Mass. Code Regs. 4.07

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.

• Mass. Gen. Laws Ann. ch. 112, § 80B; Mass. Gen. Laws Ann. ch. 112, § 80E

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants APRNs who have qualified and registered for independent practice authority may independently order laboratory testing.

• Mass. Gen. Laws Ann. ch. 112, § 80B; Mass. Gen. Laws Ann. ch. 112, § 80E

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Massachusetts law broadly permits APRN scope of practice to include “the ordering and interpreting of tests.”

• Mass. Gen. Laws Ann. ch. 112, § 80B; Mass. Gen. Laws Ann. ch. 112, § 80E

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• Mass. Gen. Laws Ann. ch. 112, § 24B ½

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Md. Code Regs. 10.27.07.03]

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Md. Code Ann., Health Occ. § 8-508; Md. Code Regs. 10.27.07.03; Md. Code Regs. 10.27.07.07] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Maryland law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Maryland law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• Md. Code Ann., Health Occ. § 8-508; Md. Code Regs. 10.27.07.03; Md. Code Regs. 10.27.07.07

1.2. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• State law broadly authorizes APRNs to “any drug that a nurse practitioner is authorized to prescribe in the course of treating a patient” at one of the following facilities: “(1) [a] medical facility or clinic that specializes in the treatment of medical cases reimbursable through workers' compensation insurance; (2) [a] medical facility or clinic that is operated on a nonprofit basis; (3) [a] health center that operates on a campus of an institution of higher education; (4) [a] public health facility, a medical facility under contract with a State or local health department, or a facility funded with public funds; or (5) [a] nonprofit hospital or a nonprofit hospital outpatient facility as authorized under the policies established by the hospital. 

• When an APRN is practicing in one of the above settings, legend drugs (including PrEP and PEP) would, therefore, be included in this prescriptive authority. 

• Md. Code Ann., Health Occ. § 8-508; Md. Code Regs. 10.27.07.03; Md. Code Regs. 10.27.07.07 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Md. Code Ann., Health Occ. § 8-508; Md. Code Regs. 10.27.07.03 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Md. Code Regs. 10.27.07.03

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Maryland law broadly permits APRN scope of practice to include the ability to “[o]rder, perform, and interpret laboratory and diagnostic tests.” 

• Md. Code Regs. 10.27.07.03

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• Md. Code Ann., Health-Gen. § 19-713.6

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV. 

• [Me. Rev. Stat. Ann. tit. 32, § 2102; 02-380 Code Me. R. ch. 8, § 1] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Me. Rev. Stat. Ann. tit. 32, § 2102; 02-380 Code Me. R. ch. 8, § 1, 6 – 8] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Me. Rev. Stat. Ann. tit. 32, § 13702-A; Me. Rev. Stat. tit. 32, § 13843; Me. Rev. Stat. Ann. tit. 32, § 13786-E] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Me. Rev. Stat. Ann. tit. 32, § 13702-A; Me. Rev. Stat. tit. 32, § 13843; Me. Rev. Stat. Ann. tit. 32, § 13786-E]

Comprehensive Review

 1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• Me. Rev. Stat. Ann. tit. 32, § 2102; 02-380 Code Me. R. ch. 8, § 1, 6 – 8

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, APRNs must first file with the Maine Board of Nursing for independent practice authority and submit written evidence of completing 24 months of practicing as an APRN under the supervision of a physician or APRN with independent practice authority.  Additionally, if the APRN must submit either documentation of completion 1) 15 contact hours in pharmacology (if the APRN has not prescribed drugs in the past 2 years) or 2) 45 contact hours in continuing education (if the APRN has not prescribed drugs in the past 5 years). 

• Once approved for independent practice authority, APRNs must renew this authority with the Board of Nursing every two years. Along with the renewal form, the APRN must submit documentation of completing at least 50 contact hours of continuing education. Of the 50 required hours, at least 30 must be in standard continuing education programs. While the other 20 of the 50 required hours may also be through standard courses, APRNs may also meet these hours through publishing research, holding presentations for other health professionals, participating in peer reviews, or other Board-approved activities. 

• Me. Rev. Stat. Ann. tit. 32, § 2102; 02-380 Code Me. R. ch. 8, § 8

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have applied and been approved for independent practice authority.

• Me. Rev. Stat. Ann. tit. 32, § 2102; 02-380 Code Me. R. ch. 8, § 1, 6 – 8

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• No, state law does not explicitly state APRNs can prescribe legend drugs.

• Rather, state law permits APRNs to generally prescribe drugs that do not exceed Maine’s statutory definitions for Schedule II-V controlled substances.   

• As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits RNPs to prescribe legend drugs. 

• 02-380 Code Me. R. ch. 8, § 7 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Me. Rev. Stat. Ann. tit. 32, § 2102 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, APRNs who have applied for and received independent practice authority may independently order laboratory testing.

• Me. Rev. Stat. Ann. tit. 32, § 2102;

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Maine law broadly permits APRNs to conduct “screening and diagnostic evaluation.” 

• 02-380 Code Me. R. ch. 8, § 1 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Me. Rev. Stat. Ann. tit. 32, § 13702-A; Me. Rev. Stat. Ann. tit. 32, § 13786-E

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative practice agreement may be non-patient specific.

• Me. Rev. Stat. Ann. tit. 32, § 13702-A; Me. Rev. Stat. Ann. tit. 32, § 13786-E

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• Me. Rev. Stat. Ann. tit. 32, § 13702-A; Me. Rev. Stat. Ann. tit. 32, § 13786-E

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• Me. Rev. Stat. Ann. tit. 32, § 13702-A; Me. Rev. Stat. Ann. tit. 32, § 13786-E 

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Mich. Admin. Code R 338.10401]

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Mich. Comp. Laws Ann. § 333.17211a] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Michigan law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Michigan law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• Mich. Comp. Laws Ann. § 333.17211a; Mich. Admin. Code R 338.10401

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• This prescriptive authority includes nonscheduled prescription drugs, including PrEP and PEP. 

• Mich. Comp. Laws Ann. § 333.17211a; Mich. Admin. Code R 338.10401 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Mich. Comp. Laws Ann. § 333.17211a; Mich. Admin. Code R 338.10401 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Mich. Comp. Laws Ann. § 333.17211a

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Michigan law broadly permits APRN scope of practice includes the “[o]rdering, performing, supervising, and interpreting laboratory and imaging studies.” 

• Mich. Comp. Laws Ann. § 333.17211a 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• See Michigan Department of Licensing and Regulatory Affairs clarifying statement on Delegation of Limited Prescriptive Authority to Licensed Pharmacists 

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Minn. Stat. Ann. § 148.171]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.

• [Minn. Stat. Ann. § 148.171; Minn. Stat. Ann. § 148.235]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [Minn. Stat. Ann. § 151.01]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP.

• [Minn. Stat. Ann. § 151.01]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• Minn. Stat. Ann. § 148.171; Minn. Stat. Ann. § 148.235

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• This prescriptive authority explicitly includes legend drugs (including PrEP and PEP).

• Minn. Stat. Ann. § 148.171; Minn. Stat. Ann. § 148.235

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.

• Minn. Stat. Ann. § 148.171; Minn. Stat. Ann. § 148.235

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Minn. Stat. Ann. § 148.171

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Minnesota law broadly permits APRN scope of practice includes the “[o]rdering, performing, supervising, and interpreting diagnostic studies.”

• Minn. Stat. Ann. § 148.171

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Minn. Stat. Ann. § 151.01

4.1. If yes, can the collaborative practice agreement be non-patient specific?

• Yes, the collaborative pharmacy practice agreement may be non-patient specific.

• Minn. Stat. Ann. § 151.01

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP.

• [Pharmacists may also prescribe PrEP and PEP pursuant to a statewide protocol. A collaborative practice agreement is not needed, but a pharmacist may choose to do so. Minn. Stat. Ann. § 151.37]

• Minn. Stat. Ann. § 151.01

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority.

• Minn. Stat. Ann. § 151.01

Can a nurse practitioner independently order HIV testing?

• No, Advance Practice Registered Nurses (APRNs) cannot independently order testing for HIV. 

• [Mo. Ann. Stat. § 334.104; Mo. Ann. Stat. § 334.104] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• No, APRNs cannot independently prescribe PrEP and PEP. 

• [Mo. Ann. Stat. § 334.104; Mo. Ann. Stat. § 334.104] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Missouri law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Missouri law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• No, state law does not grant APRNs independent practice authority.

• Mo. Ann. Stat. § 334.104; Mo. Ann. Stat. § 334.104 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• Yes, state law limits practice authority for APRNs through provider agreements.

• Mo. Ann. Stat. § 334.104; Mo. Ann. Stat. § 334.104

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements? 

• Yes, state law explicitly grants APRNs prescriptive authority through provider agreements.

• Mo. Ann. Stat. § 334.104; Mo. Ann. Stat. § 334.104

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)? 

• Yes, state law explicitly states APRNs can prescribe legend drugs (including PrEP and PEP) through provider agreements. 

• Mo. Ann. Stat. § 334.104; Mo. Ann. Stat. § 334.104 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• No, state law does not grant APRNs the authority to independently order laboratory testing.

• However, an APRN can order testing for HIV through the establishment of a CPA or protocol with a physician.

• Mo. Ann. Stat. § 334.104; Mo. Ann. Stat. § 334.104 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

Can a nurse practitioner independently order HIV testing?

• No, Advance Practice Registered Nurses (APRNs) cannot independently order testing for HIV.

• [Miss. Code Ann. § 73-15-5; Miss. Code Ann. § 73-15-20; 30 Code Miss. R. Pt. 2840, R. 1.4]

Can a nurse practitioner independently prescribe PrEP and PEP?

• No, APRNs cannot independently prescribe PrEP and PEP.

• [Miss. Code Ann. § 73-15-5; Miss. Code Ann. § 73-15-20; 30 Code Miss. R. Pt. 2840, R. 1.4, 1.5]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Mississippi law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, Mississippi law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• No, state law does not grant APRNs independent practice authority.

• Miss. Code Ann. § 73-15-5; Miss. Code Ann. § 73-15-20; 30 Code Miss. R. Pt. 2840, R. 1.4, 1.5

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• Yes, state law limits practice authority for APRNs through provider agreements.

• Miss. Code Ann. § 73-15-5; Miss. Code Ann. § 73-15-20; 30 Code Miss. R. Pt. 2840, R. 1.4, 1.5

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements?

• Yes, state law explicitly grants APRNs prescriptive authority through provider agreements.

• Miss. Code Ann. § 73-15-5; Miss. Code Ann. § 73-15-20; 30 Code Miss. R. Pt. 2840, R. 1.4, 1.5

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)?

• No, state law does not explicitly state APRNs can prescribe legend drugs through provider agreements.

• Rather, state law permits APRNs to generally prescribe drugs, with limitations imposed on the prescribing of scheduled II-V controlled substances.

• As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits APRNs to prescribe legend drugs.

• 30 Code Miss. R. Pt. 2840, R. 1.5

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• No, state law does not grant APRNs the authority to independently order laboratory testing.

• However, an APRN can order testing for HIV through the establishment of a CPA or protocol with a physician.

• Miss. Code Ann. § 73-15-5; Miss. Code Ann. § 73-15-20; 30 Code Miss. R. Pt. 2840, R. 1.4

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• 30 Code Miss. R. Pt. 2630, R. 2.4

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV. 

• [Mont. Admin. R. 24.159.1406]

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Mont. Admin. R. 24.159.1406; Mont. Admin. R. 24.159.1461; Mont. Admin. R. 24.159.1463]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Mont. Admin. R. 24.159.1464; Mont. Code Ann. § 37-7-101; Mont. Admin. R. 24.174.524] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Mont. Admin. R. 24.159.1464; Mont. Code Ann. § 37-7-101; Mont. Admin. R. 24.174.524]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• [Mont. Admin. R. 24.159.1406; Mont. Admin. R. 24.159.1461; Mont. Admin. R. 24.159.1463]

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, APRNs must first apply with the Montana Board of Nursing for independent practice authority.

• Along with the application form and $100 fee, APRN’s who graduated within five years of applying for independent practice authority must provide documentation of completing: 1) three graduate semester credits in advanced pharmacology that includes instruction in pharmacodynamics, pharmacokinetics, and pharmacotherapeutics; 2) a graduate course that covers differential diagnosis/disease management; and 3) supervised clinical practice that included providing pharmacologic intervention within patient care services. 

• Along with the application form and $100 fee, APRN’s who graduated more than five years prior to applying for independent practice authority must provide documentation of completing either 1) three graduate semester credits or 2) 45 contact hours in continuing education, both of which must include instruction in pharmacodynamics, pharmacokinetics, and pharmacotherapeutics. 

• Mont. Admin. R. 24.159.1463; Mont. Admin. R. 24.159.401

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have applied and been approved for independent practice authority.

• Mont. Admin. R. 24.159.1463

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• Yes, state law explicitly authorizes APRNs to prescribe legend drugs (including PrEP and PEP). 

• Mont. Admin. R. 24.159.1463; Mont. Admin. R. 24.159.1406

2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Mont. Admin. R. 24.159.1463

3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Mont. Admin. R. 24.159.1406

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Montana law broadly permits APRN scope of practice includes the ordering and interpreting the results of “laboratory imaging and diagnostic tests.” 

• Mont. Admin. R. 24.159.1406

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Mont. Admin. R. 24.159.1464; Mont. Code Ann. § 37-7-101; Mont. Admin. R. 24.174.524

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative practice agreement may be non-patient specific.

• Mont. Admin. R. 24.174.524

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• Mont. Admin. R. 24.174.524

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• Mont. Admin. R. 24.174.524

Can a nurse practitioner independently order HIV testing?

• No, Nurse Practitioners (NPs) cannot independently order testing for HIV.
• [21 N.C. Admin. Code 36.0802]

Can a nurse practitioner independently prescribe PrEP and PEP?

• No, NPs cannot independently prescribe PrEP and PEP.
• [N.C. Gen. Stat. Ann. § 90-18.2; 21 N.C. Admin. Code 36.0802]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, North Carolina law does not authorize NPs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

No, North Carolina law does not authorize NPs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• No, state law does not grant NPs independent practice authority.
• N.C. Gen. Stat. Ann. § 90-18.2

 2. Does state law limit practice authority for nurse practitioners through provider agreements?

• Yes, state law limits practice authority for APNs through provider agreements.
• N.C. Gen. Stat. Ann. § 90-18.2; 21 N.C. Admin. Code 36.0802; 21 N.C. Admin. Code 36.0804

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements?

• Yes, state law explicitly grants APNs prescriptive authority through provider agreements.
• N.C. Gen. Stat. Ann. § 90-18.2; 21 N.C. Admin. Code 36.0802

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)?

• No, state law does not explicitly state NPs can prescribe legend drugs through provider agreements.
• Rather, state law permits NPs to generally prescribe medications, with limitations imposed on the prescribing of scheduled II-V controlled substances.
• As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits NPs to prescribe legend drugs.
• N.C. Gen. Stat. Ann. § 90-18.2

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• No, state law does not grant NPs the authority to independently order laboratory testing.
• However, an NP can order testing for HIV through the establishment of a CPA or protocol with a physician.
• 21 N.C. Admin. Code 36.0802

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant NPs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.
• N.C. Gen. Stat. Ann. § 90-85.3A

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [N.D. Admin. Code 54-05-03.1-10]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.

• [N.D. Admin. Code 54-05-03.1-03.2; N.D. Admin. Code 54-05-03.1-09]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [N.D. Cent. Code Ann. § 43-15-31.4]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP.

• [N.D. Cent. Code Ann. § 43-15-31.4]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• N.D. Admin. Code 54-05-03.1-03.2; N.D. Admin. Code 54-05-03.1-10

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• Yes, to receive independent practice authority, APRNs must first apply for prescriptive authority to and receive approval from the North Dakota State Board of Nursing.

• Along with the application and $75 application fee, the APRN must provide documentation of 1) APRN licensure; 2) graduate degree transcript that includes study of advanced pharmacotherapy, physical assessment, and pathophysiology; and 3) 30 contact hours of education or equivalent in pharmacotherapy related to the APRN's scope of practice.

• Once approved for independent practice authority, APRNs must renew this authority with the Board of Nursing in conjunction with the individual’s APRN license.

• Along with the renewal application and $75 fee, APRNs must submit documentation of completing 15 contact hours of education in pharmacology, which may also be used to fulfill the APRN’s registered nursing continuing education requirements. In addition to traditional education courses, the APRN may also fulfill these hours with other practical activities such as attending seminars or participating in studies – so long as the activity receives approval from the Board of Nursing.

• N.D. Admin. Code 54-05-03.1-09; N.D. Admin. Code 54-05-03.1-11

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority to APRNs who have applied and been approved for prescriptive authority.

• N.D. Admin. Code 54-05-03.1-03.2; N.D. Admin. Code 54-05-03.1-10

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?

• Yes, state law explicitly grants APRNs prescriptive authority for legend drugs (including PrEP and PEP).

• N.D. Admin. Code 54-05-03.1-03.2; N.D. Admin. Code 54-05-03.1-10

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.

• N.D. Admin. Code 54-05-03.1-03.2; N.D. Admin. Code 54-05-03.1-10

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• N.D. Admin. Code 54-05-03.1-10

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, North Dakota law broadly permits APRN scope of practice to include “diagnostic and supportive services.”

• N.D. Admin. Code 54-05-03.1-10

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• Yes, APRNs who have been granted prescriptive authority by the North Dakota State Board of Nursing can delegate patient care services to a pharmacist via a collaborative practice agreement.

• N.D. Cent. Code Ann. § 43-15-31.4

1.4. If yes, can the collaborative practice agreement be non-patient specific?

• Yes, the collaborative practice agreement may be non-patient specific.

• N.D. Cent. Code Ann. § 43-15-31.4

1.5. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP.

• The pharmacist must notify the APRN “immediately” upon initiating a prescription.

• N.D. Cent. Code Ann. § 43-15-31.4

• [North Dakota law permits pharmacists to prescribe PEP (not PrEP). A collaborative practice agreement is not needed, but a pharmacist may choose to do so. N.D. Cent. Code Ann. § 43-15-31.6]

1.6. If yes, can the collaborative practice agreement grant the pharmacist testing authority?

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• N.D. Cent. Code Ann. § 43-15-31.4

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV. 

• [Neb. Rev. Stat. Ann. § 38-2315; Neb. Rev. Stat. Ann. § 38-2317] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Neb. Rev. Stat. Ann. § 38-2315; Neb. Rev. Stat. Ann. § 38-2317] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Neb. Rev. Stat. Ann. § 38-2867.03] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Neb. Rev. Stat. Ann. § 38-2867.03]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• Neb. Rev. Stat. Ann. § 38-2317; Neb. Rev. Stat. Ann. § 38-2314.01; Neb. Rev. Stat. Ann. § 38-2322

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, APRNs must first register with the Nebraska Board of Nursing for independent practice authority and submit written evidence of completing 2,000 hours of practicing as an APRN under the supervision of a physician or APRN with independent practice authority (who has a total of 10,000 practice hours completed).   

• Neb. Rev. Stat. Ann. § 38-2317; Neb. Rev. Stat. Ann. § 38-2314.01; Neb. Rev. Stat. Ann. § 38-2322

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have qualified and registered for independent practice authority. 

• Neb. Rev. Stat. Ann. § 38-2315; Neb. Rev. Stat. Ann. § 38-2317

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• No, state law does not explicitly state APRNs can prescribe legend drugs.

• Rather, state law broadly includes “[p]rescribing therapeutic measures and medications relating to health conditions within the scope of practice.” 

• Neb. Rev. Stat. Ann. § 38-2315; Neb. Rev. Stat. Ann. § 38-2317 

 2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Neb. Rev. Stat. Ann. § 38-2315; Neb. Rev. Stat. Ann. § 38-2317 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, APRNs who have qualified and registered for independent practice authority may independently order laboratory testing. 

• Neb. Rev. Stat. Ann. § 38-2315; Neb. Rev. Stat. Ann. § 38-2317

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Nebraska law broadly permits APRN scope of practice to include “ordering diagnostic tests and therapeutic treatments.” 

• Neb. Rev. Stat. Ann. § 38-2315 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Neb. Rev. Stat. Ann. § 38-2867.03  

1. If yes, can the collaborative practice agreement be non-patient specific? 

4.1. Yes, the collaborative practice agreement may be non-patient specific. 

• Neb. Rev. Stat. Ann. § 38-2867.03 

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• Neb. Rev. Stat. Ann. § 38-2867.03 

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• Neb. Rev. Stat. Ann. § 38-2867.03 

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [N.H. Rev. Stat. Ann. § 326-B:11]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.

• [N.H. Rev. Stat. Ann. § 326-B:11]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [N.H. Rev. Stat. Ann. § 318:16-a; N.H. Code Admin. R. Ph 1105.01]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP.

• [N.H. Rev. Stat. Ann. § 318:16-a; N.H. Code Admin. R. Ph 1105.01]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• N.H. Rev. Stat. Ann. § 326-B:11

1.2. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• This specifically includes broad prescriptive authority for “controlled and non-controlled drugs within the scope of the APRN’s practice.” As legend drugs would fall under this broad scope, APRNs can prescribe PrEP and PEP.

• N.H. Rev. Stat. Ann. § 326-B:11

• [See also N.H. Code Admin. R. He-W 534.03 – New Hampshire law recognizes APRNs as providers under state Medicaid.]

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.

• N.H. Rev. Stat. Ann. § 326-B:11

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• N.H. Rev. Stat. Ann. § 326-B:11

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, New Hampshire law broadly includes within an APRN’s scope of practice the “[p]erforming acts of advanced assessment, diagnosing, prescribing, selecting, administering, and providing therapeutic measures and treatment regimes.”

• This broad authority is summarized as “[p]roviding such functions common to a nurse practitioner.” As the ordering of laboratory testing is a common function of an APRN [see the NCSBN Model Nursing Practice Act and Model Nursing Administrative Rules], New Hampshire APRNs may order laboratory testing.

• N.H. Rev. Stat. Ann. § 326-B:11

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• N.H. Rev. Stat. Ann. § 318:16-a; N.H. Code Admin. R. Ph 1105.01

4.1. If yes, can the collaborative practice agreement be non-patient specific?

• No, the collaborative practice agreement must be patient specific.

• N.H. Rev. Stat. Ann. § 318:16-a; N.H. Code Admin. R. Ph 1105.01

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP.

• N.H. Rev. Stat. Ann. § 318:16-a; N.H. Code Admin. R. Ph 1105.01

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority.

• N.H. Rev. Stat. Ann. § 318:16-a; N.H. Code Admin. R. Ph 1105.01

Can a nurse practitioner independently order HIV testing?

• No, Advanced Practice Nurses (APNs) cannot independently order testing for HIV.

• [N.J. Stat. Ann. § 45:11-49]

Can a nurse practitioner independently prescribe PrEP and PEP?

• No, APNs cannot independently prescribe PrEP and PEP.

• [N.J. Stat. Ann. § 45:11-49]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, New Jersey law does not authorize APNs to delegate patient care services to pharmacists via CPAs.

• [N.J. Admin. Code § 13:39-13.3]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, New Jersey law does not authorize APNs to delegate patient care services to pharmacists via CPAs.

• [N.J. Admin. Code § 13:39-13.3]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• No, state law does not grant APNs independent practice authority.

• N.J. Stat. Ann. § 45:11-49; N.J. Admin. Code § 13:37-7.9

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• Yes, state law limits practice authority for APNs through provider agreements.

• N.J. Stat. Ann. § 45:11-49; N.J. Admin. Code § 13:37-7.9

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements?

• Yes, state law explicitly grants APNs prescriptive authority through provider agreements.

• N.J. Stat. Ann. § 45:11-49; N.J. Admin. Code § 13:37-7.9, 7.9A

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)?

• No, state law does not explicitly state APNs can prescribe legend drugs through provider agreements.

• Rather, state law permits APNs to generally prescribe medications, with limitations imposed on the prescribing of scheduled II-V controlled substances.

• As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits APNs to prescribe legend drugs.

• N.J. Admin. Code § 13:37-7.9A

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• No, state law does not grant APRNs the authority to independently order laboratory testing.

• However, an APRN can order testing for HIV through the establishment of a CPA or protocol with a physician.

• N.J. Stat. Ann. § 45:11-49

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• N.J. Admin. Code § 13:39-13.3

Can a nurse practitioner independently order HIV testing?

• Yes, Certified Nurse Practitioners (CNPs) can independently order testing for HIV.

• [N.M. Stat. Ann. § 61-3-23.2; N.M. Admin. Code 16.12.1.7]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, CNPs can independently prescribe PrEP and PEP.

• [N.M. Stat. Ann. § 61-3-23.2; N.M. Admin. Code 16.12.1.7]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, New Mexico law does not authorize CNPs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, New Mexico law does not authorize CNPs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants CNPs independent practice authority.

• N.M. Stat. Ann. § 61-3-23.2; N.M. Admin. Code 16.12.1.7

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• Yes, CNPs must first apply with the Nebraska Board of Nursing for independent prescribing authority and submit written evidence of completing 400 hours of prescribing experience through a protocol with a licensed CNP, Critical Care Clinical Nurse Specialist, or physician occurring within the last two years.

• N.M. Admin. Code 16.12.1.7

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority for CNPs who have applied and been approved for independent prescriptive authority.

• N.M. Stat. Ann. § 61-3-23.2; N.M. Admin. Code 16.12.1.7

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?

• No, state law does not explicitly state CNPs can prescribe legend drugs.

• Rather, state law explicitly identifies CNPs’ authority to prescribe dangerous drugs (drugs requiring a prescription) and controlled substances up to Schedule II drugs. As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits CNPs to prescribe legend drugs.

• N.M. Stat. Ann. § 61-3-23.2; N.M. Admin. Code 16.12.1.7

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for CNPs through provider agreements.

• N.M. Stat. Ann. § 61-3-23.2

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants CNPs the authority to independently order laboratory testing.

• N.M. Stat. Ann. § 61-3-23.2, N.M. Admin. Code 16.12.17.14

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant CNPs the explicit authority to order laboratory testing for HIV.

• Rather, New Mexico law broadly grants CNP’s the ability to “practice independently” to provide primary care to patients.

• N.M. Stat. Ann. § 61-3-23.2, N.M. Admin. Code 16.12.17.14

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• N.M. Stat. Ann. § 61-11B-2, 3

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV. 

• [Nev. Rev. Stat. Ann. § 632.237] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Nev. Rev. Stat. Ann. § 632.237] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Nev. Rev. Stat. Ann. § 639.2623; Nev. Rev. Stat. Ann. § 639.0125] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Nev. Rev. Stat. Ann. § 639.2623; Nev. Rev. Stat. Ann. § 639.0125]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority.

• Nev. Rev. Stat. Ann. § 632.237; Nev. Rev. Stat. Ann. § 639.2351; Nev. Rev. Stat. Ann. § 454.695

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• This specifically includes prescriptive authority for medications up until Schedule II controlled substances (which would include legend drugs such as PrEP and PEP). 

• Nev. Rev. Stat. Ann. § 632.237; Nev. Rev. Stat. Ann. § 639.2351; Nev. Rev. Stat. Ann. § 454.695

2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Nev. Rev. Stat. Ann. § 632.237

3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Nev. Rev. Stat. Ann. § 632.237

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Nevada law broadly includes the ability to “[e]ngage in selected medical diagnosis and treatment” and the “[p]erforming or initiating selected diagnostic procedures” within an APRN’s scope of practice. 

• Nev. Rev. Stat. Ann. § 632.237 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Nev. Rev. Stat. Ann. § 639.2623; Nev. Rev. Stat. Ann. § 639.0125

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• No, the collaborative practice agreement must be patient specific. All patients receiving care via the collaborative practice agreement must be referred to the pharmacist by the APRN, and the patient must explicitly consent to receiving care through the collaborative practice agreement. 

• Nev. Rev. Stat. Ann. § 639.2623

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• Nev. Rev. Stat. Ann. § 639.2623 

• [Pharmacists may also prescribe PrEP and PEP pursuant to a statewide protocol. A collaborative practice agreement is not needed, but a pharmacist may choose to do so. Nev. Rev. Stat. Ann. § 639.28085]

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority.

• Nev. Rev. Stat. Ann. § 639.2623 

Can a nurse practitioner independently order HIV testing?

• Yes, Nurse Practitioners (NPs) can independently order testing for HIV. 

• [N.Y. Educ. Law § 6902; N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, NPs can independently prescribe PrEP and PEP. 

• [N.Y. Educ. Law § 6902; N.Y. Comp. Codes R. & Regs. tit. 8, § 64.4, .5] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, New York law does not authorize NPs to delegate testing authority for HIV to pharmacists via CPAs.  

• [N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, NPs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for a seven-day course of PEP (cannot delegate PrEP prescriptive authority). 

• [N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants NPs independent practice authority. 

• N.Y. Educ. Law § 6902; N.Y. Comp. Codes R. & Regs. tit. 8, § 64.4, .5

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, NPs must first complete 3,600 hours of practicing as an NP under the supervision of a physician.  

• N.Y. Educ. Law § 6902; N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority for NPs who have qualified for independent practice authority. 

• N.Y. Educ. Law § 6902; N.Y. Comp. Codes R. & Regs. tit. 8, § 64.4, .5

1.1.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• No, state law does not explicitly state NPs can prescribe legend drugs. 

• Rather, state law explicitly identifies NPs’ authority to prescribe “either registered under the Federal Controlled Substance Act or exempt from such registration.” As legend drugs (including PrEP and PEP) would fall under the latter category of drugs, state law permits NPs to prescribe legend drugs. 

• N.Y. Educ. Law § 6902

2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for CNPs through provider agreements.

• N.Y. Educ. Law § 6902; N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5 

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, NPs who have qualified for independent practice authority may independently order laboratory testing. 

• N.Y. Educ. Law § 6902; N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant NPs the explicit authority to order laboratory testing for HIV. 

• Rather, New York law broadly grants NPs full practice authority once independent practice authority requirements have been met. 

• N.Y. Educ. Law § 6902; N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5 

 4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, NPs can delegate certain patient care services to a pharmacist via a collaborative pharmacy practice agreement. 

• N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative practice agreement may be non-patient specific. 

• N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for a seven-day supply of PEP. 

• (An NP cannot delegate PrEP prescriptive authority to the pharmacist). 

• N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• No, the collaborative pharmacy practice agreement cannot grant the pharmacist testing authority. 

• N.Y. Comp. Codes R. & Regs. tit. 8, § 64.5 

Can a nurse practitioner independently order HIV testing?

• No, Advanced Practice Nurses (APNs) cannot independently order testing for HIV. 

• [Ohio Rev. Code Ann. § 4723.43] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• No, APNs cannot independently prescribe PrEP and PEP. 

• [Ohio Rev. Code Ann. § 4723.481] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Ohio Rev. Code Ann. § 4729.39] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Ohio Rev. Code Ann. § 4729.39]

Comprehensive Review

  1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• No, state law does not grant APRNs independent practice authority. 

• Ohio Rev. Code Ann. § 4723.43 

  2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• Yes, state law limits practice authority for APRNs through provider agreements. 

• Ohio Rev. Code Ann. § 4723.43; Ohio Rev. Code Ann. § 4723.481

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements? 

• Yes, state law explicitly grants APRNs prescriptive authority through provider agreements. 

• Ohio Rev. Code Ann. § 4723.481

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)? 

• No, state law does not explicitly state APRNs can prescribe legend drugs through provider agreements. 

• Rather, state law permits APRNs to generally prescribe medications, with limitations imposed on the prescribing of scheduled II controlled substances.   

• As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits APRNs to prescribe legend drugs. 

• Ohio Rev. Code Ann. § 4723.481 

  3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• No, state law does not grant APRNs the authority to independently order laboratory testing. 

• However, an APRN can order testing for HIV through the establishment of a CPA or protocol with a physician. 

• Ohio Rev. Code Ann. § 4723.43 

  4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs practicing under a collaborative practice agreement or protocol with a physician can delegate patient care services to a pharmacist via a collaborative practice agreement, so long as the APRN’s agreement with the authorizing physician specifically enables the delegation of all listed patient care services. 

• All patients receiving care from the pharmacist must have a patient/provider relationship with the APRN. 

• Ohio Rev. Code Ann. § 4729.39

1.4. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative practice agreement may be non-patient specific. 

• Ohio Rev. Code Ann. § 4729.39

1.5. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• Ohio Rev. Code Ann. § 4729.39

1.6. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative practice agreement may grant the pharmacist testing authority. 

• Ohio Rev. Code Ann. § 4729.39 

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV.
• [Okla Admin. Code 485:10-15-6]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.
• [Okla Stat. Ann. tit. 59, § 567.3a]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Oklahoma law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

No, Oklahoma law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.
• Okla Stat. Ann. tit. 59, § 567.3a; Okla. Admin. Code 485:10-15-6

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• Yes, to receive independent practice authority, APRNs must first apply for prescriptive authority to and receive approval from the Oklahoma State Board of Nursing.
• Along with the application and $85 application fee, the APRN must provide documentation of 1) licensure as an APRN; 2) malpractice insurance of at least $1 million per occurrence and $3 million in the aggregate per year; and 3) submission of a written statement of a licensed physician attesting to the APRN’s completion of 6,240 practice hours under their supervision.
• Once approved for independent practice authority, APRNs must renew this authority with the Board of Nursing every two years.
• Along with the renewal application and fee, APRNs must submit the following for registration renewal: 1) documentation of at least 40 hours of Board-approved continuing education and 2) documentation of at least 2 hours of education either in pain management or opioid use and addiction.
• Okla Stat. Ann. tit. 59, § 567.4c; Okla. Admin. Code 485:10-16-3.2; Okla. Admin. Code 485:10-16-6
• [Application fee amount found on State Board of Nursing FAQ webpage]

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have qualified and registered for independent practice authority.
• Okla Stat. Ann. tit. 59, § 567.3a; Okla. Stat. Ann. tit. 59, § 567.4c

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?

• No, state law does not explicitly state APRNs can prescribe legend drugs.
• Rather, state law explicitly identifies APRNs’ authority to prescribe controlled substances up to Schedule III drugs. As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits APRNs to prescribe legend drugs.
• Okla Admin. Code 485:10-16-2; Okla. Admin. Code 485:10-16-5

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.
• Okla Stat. Ann. tit. 59, § 567.3a; Okla. Admin. Code 485:10-15-6

 3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants APRNs the authority to independently order laboratory testing.
• Okla Admin. Code 485:10-15-6

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.
• Rather, Oklahoma law broadly permits APRN scope of practice to include diagnostic services for acute and chronic conditions and diseases.
• Okla Admin. Code 485:10-15-6

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.
• Okla Admin. Code 535:10-9-5

Can a nurse practitioner independently order HIV testing?

• Yes, Advance Practice Registered Nurses (APRNs) can independently order testing for HIV. 

• [Or. Admin. R. 851-055-0010] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Or. Rev. Stat. Ann. § 678.390; Or. Admin. R. 851-055-0070] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Oregon law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Oregon law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

  1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority. 

• Or. Rev. Stat. Ann. § 678.375; Or. Rev. Stat. Ann. § 678.390; Or. Admin. R. 851-055-0010; Admin. R. 851-055-0020; Or. Admin. R. 851-055-0070

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license. 

• This specifically includes broad prescriptive authority for controlled substances up to Schedule II and non-controlled prescription drugs. As legend drugs would fall under this broad scope, APRNs can prescribe PrEP and PEP. 

• Or. Admin. R. 851-055-0070 

  2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Or. Rev. Stat. Ann. § 678.390; Or. Admin. R. 851-055-0020; Or. Admin. R. 851-055-0070 

  3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing. 

• Or. Admin. R. 851-055-0010; Or. Admin. R. 851-055-0020

3.2. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV. 

• Rather, Oregon law broadly permits APRN scope of practice to include “[d]iagnosis of health or illness status.” 

• Or. Admin. R. 851-055-0020

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement. 

• Or. Admin. R. 847-015-0040

Can a nurse practitioner independently order HIV testing?

• No, Certified Registered Nurse Practitioners (CRNPs) cannot independently order testing for HIV.

• [63 Pa. Stat. Ann. § 218.2; 49 Pa. Code § 21.282a]

Can a nurse practitioner independently prescribe PrEP and PEP?

• No, CRNPs cannot independently prescribe PrEP and PEP.

• [63 Pa. Stat. Ann. § 218.3; 49 Pa. Code § 21.284]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Pennsylvania law does not authorize CRNPs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, Pennsylvania law does not authorize CRNPs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• No, state law does not grant CRNPs independent practice authority.

• 63 Pa. Stat. Ann. § 218.2; 49 Pa. Code § 21.284; 49 Pa. Code § 21.282a

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• Yes, state law limits practice authority for CRNPs through provider agreements.

• 63 Pa. Stat. Ann. § 218.2; 49 Pa. Code § 21.284; 49 Pa. Code § 21.282a

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements?

• Yes, state law explicitly grants CRNPs prescriptive authority through provider agreements.

• 63 Pa. Stat. Ann. § 218.3; 49 Pa. Code § 21.284

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)?

• No, state law does not explicitly state CRNPs can prescribe legend drugs through provider agreements.

• Rather, state law permits CRNPs to generally prescribe medications, with limitations imposed on the prescribing of scheduled II-V controlled substances.

• As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits CRNPs to prescribe legend drugs.

• 49 Pa. Code § 21.284

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• No, state law does not grant CRNPs the authority to independently order laboratory testing.

• However, a CRNP can order testing for HIV through the establishment of a CPA or protocol with a physician.

• 49 Pa. Code § 21.282a

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant CRNPs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• 49 Pa. Code § 27.302

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [5 R.I. Gen. Laws Ann. § 5-34-3]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.

• [5 R.I. Gen. Laws Ann. § 5-34-3; 5 R.I. Gen. Laws Ann. § 5-34-49; 216 R.I. Code R. 40-05-3.7]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [5 R.I. Gen. Laws Ann. § 5-19.2-2]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP.

• [5 R.I. Gen. Laws Ann. § 5-19.2-2]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• 5 R.I. Gen. Laws Ann. § 5-34-3; 5 R.I. Gen. Laws Ann. § 5-34-49; 216 R.I. Code R. 40-05-3.7

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license.

• State law explicitly authorizes APRNs to prescribe legend drugs (including PrEP and PEP).

• 5 R.I. Gen. Laws Ann. § 5-34-3; 5 R.I. Gen. Laws Ann. § 5-34-49; 216 R.I. Code R. 40-05-3.7

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.

• 5 R.I. Gen. Laws Ann. § 5-34-3; 5 R.I. Gen. Laws Ann. § 5-34-44

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• 5 R.I. Gen. Laws Ann. § 5-34-3; 5 R.I. Gen. Laws Ann. § 5-34-44

1.3. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Rhode Island law broadly permits APRN’s to practice as independent practitioners wherein their scope includes patient care services of “advanced assessment, diagnosing, prescribing, and ordering.”

• 5 R.I. Gen. Laws Ann. § 5-34-3

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative practice agreement, so long as the APRN is employed by a licensed physician.

• 5 R.I. Gen. Laws Ann. § 5-19.2-2

1.4. If yes, can the collaborative practice agreement be non-patient specific?

• Yes, the collaborative practice agreement may be non-patient specific.

• 5 R.I. Gen. Laws Ann. § 5-19.2-2

1.5. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP.

• 5 R.I. Gen. Laws Ann. § 5-19.2-2

1.6. If yes, can the collaborative practice agreement grant the pharmacist testing authority?

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• However, a pharmacist may only order such laboratory tests in direct consultation with the collaborating APRN’s physician employer. Additionally, a pharmacist may not interpret the laboratory test results.

• 5 R.I. Gen. Laws Ann. § 5-19.2-2

Can a nurse practitioner independently order HIV testing?

• No, Advanced Practice Registered Nurses (APRNs) cannot independently order testing for HIV.

• [S.C. Code Ann. § 40-33-34]

Can a nurse practitioner independently prescribe PrEP and PEP?

• No, APRNs cannot independently prescribe PrEP and PEP.

• [S.C. Code Ann. § 40-33-34]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, South Carolina law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, South Carolina law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• No, state law does not grant APRNs independent practice authority.

• S.C. Code Ann. § 40-33-34

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• Yes, state law limits practice authority for APRNs through provider agreements.

• S.C. Code Ann. § 40-33-34

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements?

• Yes, state law explicitly grants APRNs prescriptive authority through provider agreements.

• S.C. Code Ann. § 40-33-34

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)?

• No, state law does not explicitly state APRNs can prescribe legend drugs through provider agreements.

• Rather, state law permits APRNs to generally prescribe non-controlled substances.

• As legend drugs (including PrEP and PEP) fall under this definition, state law permits APRNs to prescribe legend drugs.

• S.C. Code Ann. § 40-33-34

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• No, state law does not grant APRNs the authority to independently order laboratory testing.

• However, an APRN can order testing for HIV through the establishment of a CPA or protocol with a physician.

• S.C. Code Ann. § 40-33-34

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• S.C. Code Ann. § 40-43-30

Can a nurse practitioner independently order HIV testing?

• Yes, Certified Nurse Practitioners (CNPs) can independently order testing for HIV.

• [S.D. Codified Laws § 36-9A-12]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, CNPs can independently prescribe PrEP and PEP.

• [S.D. Codified Laws § 36-9A-12]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, CNPs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [S.D. Codified Laws § 36-11-19.1]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• Yes, CNPs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP.

• [S.D. Codified Laws § 36-11-19.1]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants CNPs independent practice authority.

• S.D. Codified Laws § 36-9A-12; S.D. Codified Laws § 36-9A-36

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• Yes, CNPs must first complete one thousand forty practice hours as a CNP under a collaborative practice agreement or protocol with either a 1) physician or 2) certified nurse practitioner or certified nurse midwife who has independent practice authority.

• S.D. Codified Laws § 36-9A-12; S.D. Codified Laws § 36-9A-36

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority for CNPs who have qualified for independent practice authority.

• S.D. Codified Laws § 36-9A-12; S.D. Codified Laws § 36-9A-36

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?

• Yes, state law explicitly authorizes CNPs to prescribe legend drugs (including PrEP and PEP).

• S.D. Codified Laws § 36-9A-12

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.

• S.D. Codified Laws § 36-9A-12; S.D. Admin. R. 20:62:03:11

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants CNPs the authority to independently order laboratory testing.

• S.D. Codified Laws § 36-9A-12

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant CNPs the explicit authority to order laboratory testing for HIV.

• Rather, South Dakota law broadly permits CNPs to “[o]rder and interpret diagnostic procedures.”

• S.D. Codified Laws § 36-9A-12

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• Yes, CNPs with independent practice authority can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• S.D. Codified Laws § 36-11-19.1

1.4. If yes, can the collaborative practice agreement be non-patient specific?

• Yes, the collaborative practice agreement may be non-patient specific.

• S.D. Codified Laws § 36-11-19.1

1.5. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP.

• S.D. Codified Laws § 36-11-19.1

1.6. If yes, can the collaborative practice agreement grant the pharmacist testing authority?

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• S.D. Codified Laws § 36-11-19.1

Can a nurse practitioner independently order HIV testing?

• No, Nurse Practitioners (NPs) cannot independently order testing for HIV.

• [Tenn. Code Ann. § 63-7-123]

Can a nurse practitioner independently prescribe PrEP and PEP?

• No, NPs cannot independently prescribe PrEP and PEP.

• [Tenn. Code Ann. § 63-7-123]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, NPs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [Tenn. Code Ann. § 63-10-217]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• Yes, NPs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP.

• [Tenn. Code Ann. § 63-10-217]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• No, state law does not grant NPs independent practice authority.

• Tenn. Code Ann. § 63-7-123;

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• Yes, state law limits practice authority for NPs through provider agreements.

• Tenn. Code Ann. § 63-7-123; Tenn. Comp. R. & Regs. 0880-06-.02

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements?

• Yes, state law explicitly grants NPs prescriptive authority through provider agreements.

• Tenn. Code Ann. § 63-7-123

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)?

• Yes, state law explicitly states NPs can prescribe legend drugs (including PrEP and PEP through provider agreements.

• Tenn. Code Ann. § 63-7-123

• [Note: If practicing at a primary care center established by the Tennessee Health Department pursuant to Tenn. Code Ann. § 68-1-701 that receives 50% or more of its family planning funds from the Tennessee Health Department, an NP may prescribe “drugs relating to sexually transmitted diseases” (including HIV PrEP and PEP). In such cases, however, an NP may only prescribe drugs to a patient for a condition in which a patient was first seen for by a physician. Tenn. Code Ann. § 63-7-124]

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• No, state law does not grant NPs the authority to independently order laboratory testing.

• However, a NP can order testing for HIV through the establishment of a CPA or protocol with a physician.

• Tenn. Code Ann. § 63-7-123

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• Yes, NPs practicing under a collaborative practice agreement or protocol with a physician can delegate patient care services to a pharmacist via a collaborative practice agreement, so long as the NP’s agreement with the authorizing physician specifically enables the delegation of all listed patient care services.

• Tenn. Code Ann. § 63-10-217

1.4. If yes, can the collaborative practice agreement be non-patient specific?

• Yes, the collaborative practice agreement may be non-patient specific.

• Tenn. Code Ann. § 63-10-217

1.5. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP.

• Tenn. Code Ann. § 63-10-217

1.6. If yes, can the collaborative practice agreement grant the pharmacist testing authority?

• Yes, the collaborative practice agreement may grant the pharmacist testing authority.

• Tenn. Code Ann. § 63-10-217

Can a nurse practitioner independently order HIV testing?

• No, Advanced Practice Registered Nurses (APRNs) cannot independently order testing for HIV. 

• [Tex. Occ. Code Ann. § 157.0512; Tex. Occ. Code Ann. § 157.054] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• No, APRNs cannot independently prescribe PrEP and PEP. 

• [Tex. Occ. Code Ann. § 157.0512; Tex. Occ. Code Ann. § 157.054] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Texas law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.  

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• No, Texas law does not authorize APRNs to delegate patient care services to pharmacists via CPAs. 

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• No, state law does not grant APRNs independent practice authority. 

• Tex. Occ. Code Ann. § 157.0512; Tex. Occ. Code Ann. § 157.054 

  2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• Yes, state law limits practice authority for APRNs through provider agreements. 

• Tex. Occ. Code Ann. § 157.0512

2.1.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements? 

• Yes, state law explicitly grants APRNs prescriptive authority through provider agreements. 

• Tex. Occ. Code Ann. § 157.0512

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)? 

• No, state law does not explicitly state APRNs can prescribe legend drugs through provider agreements. 

• Rather, state law permits APRNs to generally prescribe a “drug or device” as delegated by a licensed physician pursuant to a prescriptive authority agreement.  

• Thus, an APRN may prescribe legend drugs (including PrEP and PEP) if authorized pursuant to a prescriptive authority agreement.  

• Tex. Occ. Code Ann. § 157.0512

3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• No, state law does not grant APRNs the authority to independently order laboratory testing. 

• However, an APRN can order testing for HIV through the establishment of a CPA or protocol with a physician. 

• Tex. Occ. Code Ann. § 157.0512; Tex. Occ. Code Ann. § 157.054 

  4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement. 

• Tex. Occ. Code Ann. § 551.003; Tex. Occ. Code Ann. § 563.051  

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV. 

• [Utah Code Ann. § 58-31b-102; Utah Code Ann. § 58-31b-803] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Utah Code Ann. § 58-31b-102; Utah Code Ann. § 58-31b-803] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Utah Code Ann. § 58-17b-102; Utah Admin. Code r. R156-17b-611] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Utah Code Ann. § 58-17b-102; Utah Admin. Code r. R156-17b-611]

Comprehensive Review

  1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority. 

• Utah Code Ann. § 58-31b-102

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• No, APRNs are granted full, independent practice and prescriptive authority upon the issuance of an APRN license. 

• APRN’s are broadly authorized to prescribe prescription drugs up to Schedule II controlled substances. Thus, APRN’s can prescribe legend drugs (including PrEP and PEP) 

• Utah Code Ann. § 58-31b-102; Utah Code Ann. § 58-31b-803 

  2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Utah Code Ann. § 58-31b-102 

  3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, state law grants APRNs the authority to independently order laboratory testing. 

• Utah Code Ann. § 58-31b-102

1.3. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV. 

• Rather, Utah law broadly permits APRN’s to provide diagnostic patient care services. 

• Utah Code Ann. § 58-31b-102  

  4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement. 

• Utah Code Ann. § 58-17b-102; Utah Admin. Code r. R156-17b-611

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative pharmacy practice agreement may be non-patient specific. 

• Utah Code Ann. § 58-17b-102; Utah Admin. Code r. R156-17b-611

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• [Pharmacists may also prescribe PrEP and PEP independently. A collaborative practice agreement is not needed, but a pharmacist may choose to do so. Utah Code Ann. § 58-17b-627] 

• Utah Code Ann. § 58-17b-102; Utah Admin. Code r. R156-17b-611

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority. 

• Utah Code Ann. § 58-17b-102; Utah Admin. Code r. R156-17b-611 

Can a nurse practitioner independently order HIV testing?

• Yes, Nurse Practitioners (NPs) can independently order testing for HIV. 

• [Va. Code Ann. § 54.1-2957; 18 Va. Admin. Code 90-30-86] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, NPs can independently prescribe PrEP and PEP. 

• [Va. Code Ann. § 54.1-2957; Va. Code Ann. § 54.1-2957.01; 18 Va. Admin. Code 90-30-86] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, NPs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Va. Code Ann. § 54.1-3300.1] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, NPs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Va. Code Ann. § 54.1-3300.1]

Comprehensive Review

  1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants NPs independent practice authority. 

• Va. Code Ann. § 54.1-2957; Va. Code Ann. § 54.1-2957.01; 18 Va. Admin. Code 90-30-86

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, NPs must first apply for independent practice authority to and receive approval from the Virginia State Board of Nursing. 

• Along with the application and $100 application fee, the NP must provide written attestation to completing 3 years of practicing as an NP under the supervision of a physician. 

• Va. Code Ann. § 54.1-2957; Va. Code Ann. § 54.1-2957.01; 18 Va. Admin. Code 90-30-50; 18 Va. Admin. Code 90-30-86

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority for NPs who have applied and received approval for independent practice authority. 

• Va. Code Ann. § 54.1-2957; Va. Code Ann. § 54.1-2957.01; 18 Va. Admin. Code 90-30-86

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• No, state law does not explicitly state NPs can prescribe legend drugs. 

• Rather, state law explicitly identifies NPs’ authority to prescribe controlled substances up to Schedule II drugs. As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits APRNs to prescribe legend drugs. 

• Va. Code Ann. § 54.1-2957.01 

  2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for NPs through provider agreements. 

• Va. Code Ann. § 54.1-2957; Va. Code Ann. § 54.1-2957.01; 18 Va. Admin. Code 90-30-86 

  3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, NPs who have qualified for independent practice authority may independently order laboratory testing. 

• Va. Code Ann. § 54.1-2957; 18 Va. Admin. Code 90-30-86

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant NPs the explicit authority to order laboratory testing for HIV. 

• Rather, Virginia law broadly defines an NP’s independent practice authority to include patient care services that are “within the scope of his clinical and professional training and limits of his knowledge and experience and consistent with the applicable standards of care.” 

• Va. Code Ann. § 54.1-2957 

  4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, NPs can delegate patient care services to a pharmacist via a collaborative practice agreement. 

• Va. Code Ann. § 54.1-3300.1

4.1. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative practice agreement may be non-patient specific. 

• Va. Code Ann. § 54.1-3300.1

4.2. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• [Pharmacists may also prescribe PrEP and PEP independently via statewide protocol. A collaborative practice agreement is not needed, but a pharmacist may choose to do so. Va. Code Ann. § 54.1-3303.1] 

• Va. Code Ann. § 54.1-3300.1

4.3. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative practice agreement may grant the pharmacist testing authority. 

• Va. Code Ann. § 54.1-3300.1 

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV. 

• [Vt. Stat. Ann. tit. 26, § 1613; Vt. Admin. Code 20-4-1100:9] 

Can a nurse practitioner independently prescribe PrEP and PEP? 

• Yes, APRNs can independently prescribe PrEP and PEP. 

• [Vt. Stat. Ann. tit. 26, § 1613; Vt. Admin. Code 20-4-1100:9] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV. 

• [Vt. Stat. Ann. tit. 26, § 2022; Vt. Stat. Ann. tit. 26, § 2023] 

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP? 

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP. 

• [Vt. Stat. Ann. tit. 26, § 2022; Vt. Stat. Ann. tit. 26, § 2023]

Comprehensive Review

  1. Does state law grant licensed nurse practitioners the authority to practice independently? 

• Yes, state law grants APRNs independent practice authority. 

• Vt. Stat. Ann. tit. 26, § 1613; Vt. Admin. Code 20-4-1100:9

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?   

• Yes, APRNs must first submit notice to the Vermont Board of Nursing of intent to practice independently with written attestation to completing 24 months and 2,400 hours of practicing as an APRN under the supervision of a physician or APRN with independent practice authority. 

• Vt. Stat. Ann. tit. 26, § 1613; Vt. Admin. Code 20-4-1100:9

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority? 

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have qualified for independent practice authority. 

• Vt. Stat. Ann. tit. 26, § 1613; Vt. Admin. Code 20-4-1100:9

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?  

• No, state law does not explicitly state APRNs can prescribe legend drugs. 

• Rather, state law broadly permits APRNs to generally prescribe “medications.” 

• Vt. Stat. Ann. tit. 26, § 1613; Vt. Admin. Code 20-4-1100:9

2. Does state law limit practice authority for nurse practitioners through provider agreements? 

• No, state law does not limit practice authority for APRNs through provider agreements. 

• Vt. Stat. Ann. tit. 26, § 1613; Vt. Admin. Code 20-4-1100:9

3. Does state law grant nurse practitioners the authority to independently order laboratory testing? 

• Yes, APRNs who have qualified for independent practice authority may independently order laboratory testing. 

• Vt. Stat. Ann. tit. 26, § 1613; Vt. Admin. Code 20-4-1100:9

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV? 

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV. 

• Rather, Vermont law broadly includes “ordering and interpreting diagnostic tests and procedures” in an APRN’s scope of practice. 

• Vt. Stat. Ann. tit. 26, § 1613; Vt. Admin. Code 20-4-1100:9 

  4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement? 

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement. 

• Vt. Stat. Ann. tit. 26, § 2022; Vt. Stat. Ann. tit. 26, § 2023

1.4. If yes, can the collaborative practice agreement be non-patient specific?  

• Yes, the collaborative pharmacy practice agreement may be non-patient specific. 

• Vt. Stat. Ann. tit. 26, § 2022; Vt. Stat. Ann. tit. 26, § 2023

1.5. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP. 

• Vt. Stat. Ann. tit. 26, § 2022; Vt. Stat. Ann. tit. 26, § 2023

1.6. If yes, can the collaborative practice agreement grant the pharmacist testing authority?  

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority. 

• Vt. Stat. Ann. tit. 26, § 2022; Vt. Stat. Ann. tit. 26, § 2023 

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Wash. Admin. Code 246-840-300]

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.

• [Wash. Rev. Code Ann. § 18.79.050; Wash. Admin. Code 246-840-300; Wash. Admin. Code 246-840-410; Wash. Admin. Code 246-840-420]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV.

• [Wash. Rev. Code Ann. § 18.64.011; Wash. Admin. Code 246-945-350]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• Yes, APRNs can enter into a collaborative practice agreement with a pharmacist to grant the pharmacist prescribing authority for PrEP and PEP.

• [Wash. Rev. Code Ann. § 18.64.011; Wash. Admin. Code 246-945-350]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• Wash. Rev. Code Ann. § 18.79.050; Wash. Admin. Code 246-840-300; Wash. Admin. Code 246-840-410; Wash. Admin. Code 246-840-420

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• Yes, to receive independent practice authority, APRNs must first apply for prescriptive authority to and receive approval from the Washington State Board of Nursing.

• Along with the application, the APRN must provide documentation of 1) licensure as an APRN; 2) 30 contact hours pharmacology education completed within the last 2 years, “including didactic and clinical application, and consisting of pharmacodynamics, pharmacokinetics, pharmacotherapeutics, and pharmacological management of individual patients related to the applicant's scope of practice;” and 3) at least 150 hours of practice as an APRN completed under the supervision of either a physician or APRN with independent practice authority.

• Once approved for independent practice authority, APRNs must renew this authority at the same time of the APRN’s licensure renewal. For renew, the APRN must submit documentation of 15 hours of continuing education (in addition to the 30 required for APRN licensure renewal) in “pharmacotherapeutics related to the licensee's scope of practice.”

• Wash. Admin. Code 246-840-410; Wash. Admin. Code 246-840-420

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have applied and been approved for independent practice authority.

• Wash. Rev. Code Ann. § 18.79.050; Wash. Admin. Code 246-840-300; Wash. Admin. Code 246-840-410; Wash. Admin. Code 246-840-420

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?

• No, state law does not explicitly state APRNs can prescribe legend drugs.

• Rather, state law permits APRNs to generally prescribe medications up to Schedule II controlled substances.

• As legend drugs (including PrEP and PEP) do not exceed these limitations, state law permits RNPs to prescribe legend drugs.

• Wash. Admin. Code 246-840-420

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.

• Wash. Rev. Code Ann. § 18.79.050; Wash. Admin. Code 246-840-300; Wash. Admin. Code 246-840-410; Wash. Admin. Code 246-840-420

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Wash. Admin. Code 246-840-300

1.3. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Washington law broadly permits APRN’s to “[o]rder, collect, perform, and interpret diagnostic tests.”

• Wash. Admin. Code 246-840-300

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• Yes, APRNs can delegate patient care services to a pharmacist via a collaborative pharmacy practice agreement.

• Wash. Rev. Code Ann. § 18.64.011; Wash. Admin. Code 246-945-350

1.4. If yes, can the collaborative practice agreement be non-patient specific?

• Yes, the collaborative pharmacy practice agreement may be non-patient specific.

• Wash. Rev. Code Ann. § 18.64.011; Wash. Admin. Code 246-945-350

1.5. If yes, can the collaborative practice agreement grant the pharmacist prescriptive authority?

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist prescriptive authority for legend drugs, including PrEP and PEP.

• Wash. Rev. Code Ann. § 18.64.011; Wash. Admin. Code 246-945-350

1.6. If yes, can the collaborative practice agreement grant the pharmacist testing authority?

• Yes, the collaborative pharmacy practice agreement may grant the pharmacist testing authority.

• Wash. Rev. Code Ann. § 18.64.011; Wash. Admin. Code 246-945-350

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [Wis. Stat. Ann. § 441.009]*

Can a nurse practitioner independently prescribe PrEP and PEP?

• Yes, APRNs can independently prescribe PrEP and PEP.

• [Wis. Stat. Ann. § 441.001; Wis. Stat. Ann. § 441.009]*

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, Wisconsin law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, Wisconsin law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

[Wisconsin law authorizing APRN authority to practice independently does not go into effect until September 1, 2026.]

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• Yes, state law grants APRNs independent practice authority.

• Wis. Stat. Ann. § 441.001; Wis. Stat. Ann. § 441.009

1.1. If yes, are there any additional requirements that must first be met to receive the authority to practice independently?

• Yes, to receive independent practice authority, APRNs must first apply for prescriptive authority to and receive approval from the Wisconsin State Board of Nursing.

• Along with the application, the APRN must provide written evidence of completing 3,840 clinical hours and 24 months of practicing as an APRN under the supervision of a physician. Additionally, the APRN must submit proof of malpractice liability insurance.

• Once approved for independent practice authority, APRNs must renew this authority at the same time of the APRN’s licensure renewal. For renewal, the APRN must submit documentation of 16 hours of continuing education in clinical pharmacology or therapeutics.

• Wis. Stat. Ann. § 441.001; Wis. Stat. Ann. § 441.009

1.2. If yes, does state law explicitly grant nurse practitioners independent prescriptive authority?

• Yes, state law explicitly grants independent prescriptive authority for APRNs who have applied and been approved for independent practice authority.

• Wis. Stat. Ann. § 441.001; Wis. Stat. Ann. § 441.009

1.2.1. If yes, does law explicitly state nurse practitioners can prescribe legend drugs (including PrEP and PEP)?

• No, state law does not explicitly state APRNs can prescribe legend drugs.

• Rather, state law permits APRNs to generally issue “prescription orders.”

• Wis. Stat. Ann. § 441.009

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• No, state law does not limit practice authority for APRNs through provider agreements.

• Wis. Stat. Ann. § 441.001; Wis. Stat. Ann. § 441.009

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, state law grants APRNs the authority to independently order laboratory testing.

• Wis. Stat. Ann. § 441.009

1.3. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• Rather, Wisconsin law broadly permits APRN’s to provide diagnostic patient care services.

• Wis. Stat. Ann. § 441.009

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• Wis. Stat. Ann. § 450.033

Can a nurse practitioner independently order HIV testing?

• Yes, Advanced Practice Registered Nurses (APRNs) can independently order testing for HIV.

• [See West Virginia Code §30-7, West Virginia Code §30-7A, and 2023 Board of Nursing “CRITERIA FOR DETERMINING SCOPE OF PRACTICE FOR LICENSED NURSES”]

Can a nurse practitioner independently prescribe PrEP and PEP?

• No, APRNs cannot independently prescribe PrEP and PEP.

• [W. Va. Code Ann. § 30-7-15b; W. Va. Code Ann. § 30-7-15a]

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant testing authority for HIV?

• No, West Virginia law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Can a nurse practitioner enter into a collaborative practice agreement with a pharmacist to grant prescribing authority for PrEP and PEP?

• No, West Virginia law does not authorize APRNs to delegate patient care services to pharmacists via CPAs.

Comprehensive Review

1. Does state law grant licensed nurse practitioners the authority to practice independently?

• No, state law does not grant APRNs independent practice authority.

• W. Va. Code Ann. § 30-7-15b; W. Va. Code Ann. § 30-7-15a

2. Does state law limit practice authority for nurse practitioners through provider agreements?

• Yes, state law limits practice authority for APRNs through provider agreements.

• W. Va. Code Ann. § 30-7-15b; W. Va. Code Ann. § 30-7-15a

2.1. If yes, does state law explicitly grant nurse practitioners prescriptive authority through provider agreements?

• Yes, state law explicitly grants APRNs prescriptive authority through provider agreements.

• W. Va. Code Ann. § 30-7-15b; W. Va. Code Ann. § 30-7-15a

2.1.1. If yes, does state law explicitly state nurse practitioners can prescribe legend drugs through provider agreements (including PrEP and PEP)?

• No, state law does not explicitly state APRNs can prescribe legend drugs through provider agreements.

• Rather, state law permits APRNs to generally prescribe a drugs up to schedule II controlled substances as delegated by a licensed physician pursuant to a prescriptive authority agreement.

• Thus, an APRN may prescribe legend drugs (including PrEP and PEP) if authorized pursuant to a prescriptive authority agreement.

• W. Va. Code Ann. § 30-7-15b; W. Va. Code Ann. § 30-7-15a

3. Does state law grant nurse practitioners the authority to independently order laboratory testing?

• Yes, APRNs may independently order laboratory testing.

• See West Virginia Code §30-7, West Virginia Code §30-7A, and 2023 Board of Nursing “CRITERIA FOR DETERMINING SCOPE OF PRACTICE FOR LICENSED NURSES”

3.1. If yes, does the law grant nurse practitioners the authority to explicitly order laboratory testing for HIV?

• No, state law does not grant APRNs the explicit authority to order laboratory testing for HIV.

• West Virginia law on APRN practice authority does not outline specifications for patient care services beyond the need for physician collaboration for prescriptive authority.

• However, the Board of Nursing has stated that “[b]ased on the definitions of practice in the Code (West Virginia Code §30-7, West Virginia Code §30-7A), the APRN and RN can independently engage in activities including assessing the health status of an individual, teaching, delegating, supervising, diagnosing, intervening and evaluating.”

• When deciding if an act is within an APRNs’ scope of practice, the West Virginia Board of Nursing recommends using a Scope of Practice Decision Model.

• 2023 Board of Nursing “CRITERIA FOR DETERMINING SCOPE OF PRACTICE FOR LICENSED NURSES”

4. Does state law grant nurse practitioners the authority to delegate patient care services to a pharmacist via a collaborative practice agreement?

• No, state law does not grant APRNs the authority to delegate patient care services to a pharmacist via a collaborative practice agreement.

• W. Va. Code Ann. § 30-5-19